Katelyn Joy Pedersen, ARNP is a medicare enrolled "Family Medicine" in Eugene, Oregon. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oregon Healthcare Resources Llc, Optum Care Washington Pllc, The Polyclinic Pllc and her current practice location is
2830 Crescent Ave, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 686-9000.
Katelyn Joy Pedersen is licensed to practice in Oregon (license number 10024575) 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 1063021137.
Provider's Profile
| Full Name | Katelyn Joy Pedersen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 2830 Crescent Ave, Eugene, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katelyn Joy Pedersen graduated from nursing school in 2020
NPI Data:
- NPI Number: 1063021137
- Provider Enumeration Date: 07/24/2020
- Last Update Date: 07/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931528833
- Enrollment ID: I20240828000915
Medical Identifiers
Medical identifiers for Katelyn Joy Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063021137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP61085962 (Washington) | Secondary |
| 207Q00000X | Family Medicine | 10024575 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Oregon Healthcare Resources Llc | 4486835477 | 160 |
| Optum Care Washington Pllc | 6406752153 | 684 |
| The Polyclinic Pllc | 2163328196 | 364 |
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. Katelyn Joy Pedersen allows following entities to bill medicare on her behalf.
| Entity Name | Oregon Healthcare Resources LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982907572
PECOS PAC ID: 4486835477
Enrollment ID: O20110223001220 |
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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. Katelyn Joy Pedersen 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 |
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Katelyn Joy Pedersen, ARNP
7600 Evergreen Way,
Everett, WA 98203-6421
Ph: (206) 860-5414 | Katelyn Joy Pedersen, ARNP
2830 Crescent Ave,
Eugene, OR 97408-7397
Ph: (541) 686-9000 |
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