Nicholas Pedersen, - Medicare Physician Assistant in Cumberland, WI

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Nicholas Pedersen, is a medicare enrolled "Physician Assistant" in Cumberland, Wisconsin. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cumberland Memorial Hospital Inc and his current practice location is 1705 16th Ave, Cumberland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 822-7500.

Nicholas Pedersen is licensed to practice in Wisconsin (license number 5071) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619502275.

Contact Information

Nicholas Pedersen,
1705 16th Ave,
Cumberland, WI 54829-8601
(715) 822-7500
(715) 822-7501

Map and Direction




Provider's Profile

Full NameNicholas Pedersen
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location1705 16th Ave, Cumberland, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Pedersen graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1619502275
  • Provider Enumeration Date: 03/04/2020
  • Last Update Date: 03/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0446674097
  • Enrollment ID: I20200716000375

Medical Identifiers

Medical identifiers for Nicholas Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619502275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5071 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cumberland Memorial HospitalCumberland, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cumberland Memorial Hospital Inc771988920318

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. Nicholas 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
Nicholas Pedersen,
1705 16th Ave,
Cumberland, WI 54829-8601

Ph: (715) 822-7500		Nicholas Pedersen,
1705 16th Ave,
Cumberland, WI 54829-8601

Ph: (715) 822-7500

Reviews and Comments


Physician Assistant Nurses in Cumberland, WI

Faith A. Gustafson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1475 Webb St, Cumberland, WI 54829
Phone: 717-822-2231    Fax: 715-822-2023
Nicole Marie Huber, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1705 16th Ave, Cumberland, WI 54829
Phone: 715-822-7500    Fax: 715-822-7501

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.