Jacqueline R Pederson, APRN in Atchison, KS - Medicare Nurse Practitioner

Jacqueline R Pederson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Atchison, Kansas. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Amberwell Atchison Association and her current practice location is 800 Ravenhill Dr Ste 100&107, Atchison, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 367-7300.

Jacqueline R Pederson is licensed to practice in Kansas (license number 53-80318) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922670926.

Contact Information

	Jacqueline R Pederson, APRN
	800 Ravenhill Dr Ste 100&107, Atchison, KS 66002-9204
	(913) 367-7300
	(913) 674-2030

Map and Direction

Provider's Profile

Full Name	Jacqueline R Pederson
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	800 Ravenhill Dr Ste 100&107, Atchison, Kansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline R Pederson graduated from nursing school in 2021

NPI Data:

NPI Number: 1922670926
Provider Enumeration Date: 07/11/2021
Last Update Date: 03/17/2026

Medicare PECOS Information:

PECOS PAC ID: 4789089293
Enrollment ID: I20210823000238

Medical Identifiers

Medical identifiers for Jacqueline R Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922670926	NPI	-	NPPES
016289096	Other	KS	PTAN
30004760070001	Medicaid	KS
420100370	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	53-80318 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amberwell Atchison Association	2466363858	52

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline R Pederson allows following entities to bill medicare on her behalf.

Entity Name	Amberwell Atchison Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932151487 PECOS PAC ID: 2466363858 Enrollment ID: O20040329001560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline R Pederson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqueline R Pederson, APRN 800 Ravenhill Dr, Atchison, KS 66002-9204 Ph: (913) 367-2131	Jacqueline R Pederson, APRN 800 Ravenhill Dr Ste 100&107, Atchison, KS 66002-9204 Ph: (913) 367-7300

Reviews and Comments

Nurse Practitioner Nurses in Atchison, KS

Catherine J Spangler, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131
Abby Gentry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr Ste 100&107, Atchison, KS 66002 Phone: 913-367-2131
Jaymi Kearney, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr Ste 100&107, Atchison, KS 66002 Phone: 913-367-7300 Fax: 913-674-2030
Cassandra D. Vilander, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr Ste 100&107, Atchison, KS 66002 Phone: 913-367-7300 Fax: 913-674-2030
Ms. Lisa Ann Whitfield, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131
Caitlin B Perry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1412 N 2nd St, Atchison, KS 66002 Phone: 913-367-4879 Fax: 913-367-0240
Jessie Ann Scheitel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr Ste 100&107, Atchison, KS 66002 Phone: 913-367-7300 Fax: 913-674-2030

Jacqueline R Pederson, APRN - Medicare Nurse Practitioner in Atchison, KS