Katelyn Joy Pedersen, ARNP - Medicare Nurse Practitioner in Everett, WA

Katelyn Joy Pedersen, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Everett, Washington. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Everett Clinic Pllc and her current practice location is 3927 Rucker Ave, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 339-5422.

Katelyn Joy Pedersen is licensed to practice in Washington (license number AP61085962) 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.

Contact Information

Katelyn Joy Pedersen, ARNP
3927 Rucker Ave,
Everett, WA 98201-4833
(425) 339-5422
(425) 339-5444

Map and Direction




Provider's Profile

Full NameKatelyn Joy Pedersen
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location3927 Rucker Ave, Everett, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931528833
  • Enrollment ID: I20200925001991

Medical Identifiers

Medical identifiers for Katelyn Joy Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063021137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP61085962 (Washington)Secondary
363LF0000XNurse Practitioner - Family AP61085962 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Everett Clinic Pllc6406752153552

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 NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameThe Everett Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

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 AddressPractice Location Address
Katelyn Joy Pedersen, ARNP
Po Box 50095,
Seattle, WA 98145-5095

Ph: (206) 520-5700
Katelyn Joy Pedersen, ARNP
3927 Rucker Ave,
Everett, WA 98201-4833

Ph: (425) 339-5422

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.