| Dawn Elaine Pedersen, APRN - CNP | |
|
18275 Kenrick Ave, Lakeville, MN 55044-7306 | |
| (952) 892-5400 | |
| (952) 892-5454 |
| Full Name | Dawn Elaine Pedersen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 18275 Kenrick Ave, Lakeville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932213147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A-092130 (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 155646-9 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Tapestry Telehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20190424002769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Elaine Pedersen, APRN - CNP 112 E Amber Lake Dr, Fairmont, MN 56031-3425 Ph: (507) 235-2605 | Dawn Elaine Pedersen, APRN - CNP 18275 Kenrick Ave, Lakeville, MN 55044-7306 Ph: (952) 892-5400 |
Titi Taiwo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5370 172nd Street West, Lakeville, MN 55024 Phone: 612-386-2372 | |
Tracy Mueller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-892-5454 | |
Kelly Krueger, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-993-8800 | |
Katherine Mary Neu, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-832-5400 | |
Carla Renea Boudoir, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18342 Kerrville Trl, Lakeville, MN 55044 Phone: 612-275-2739 | |
Emily Ann Dallmann, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17713 Kenwood Trl, Lakeville, MN 55044 Phone: 952-595-6061 | |
Sarah Mary Boman, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-992-6700 |