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

Jacqueline R Pederson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Atchison, Kansas. She graduated from nursing school in 2021 and has 3 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 Raven Hill Drive, Atchison, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 367-2131.

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 Raven Hill Drive,
Atchison, KS 66002
(913) 367-2131
(913) 674-2023

Map and Direction




Provider's Profile

Full NameJacqueline R Pederson
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location800 Raven Hill Drive, Atchison, Kansas
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:
  • Jacqueline R Pederson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1922670926
  • Provider Enumeration Date: 07/11/2021
  • Last Update Date: 07/11/2021
  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.
IdentifierTypeStateIssuer
1922670926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 53-80318 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atchison HospitalAtchison, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amberwell Atchison Association246636385848

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 NameAmberwell Atchison Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Jacqueline R Pederson, APRN
800 Raven Hill Drive,
Atchison, KS 66002

Ph: (913) 367-2131
Jacqueline R Pederson, APRN
800 Raven Hill Drive,
Atchison, KS 66002

Ph: (913) 367-2131

Reviews and Comments


Nurse Practitioner Nurses in Atchison, KS

Miss Hillary Marie Contreras, MSN, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 807 Main St, Atchison, KS 66002
Phone: 573-814-1170    Fax: 270-594-4317
Mrs. Sarah Jo Mata, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1412 N 2nd St, Atchison, KS 66002
Phone: 913-367-4879    Fax: 913-360-0240
Mrs. Jacqulene Harris, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1412 N 2nd St, Atchison, KS 66002
Phone: 913-367-4879    Fax: 913-367-0240
Mrs. Melissa June Wolfe, DNP, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1412 N 2nd St, Atchison, KS 66002
Phone: 913-367-4879    
Sarah J Bakri,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 810 Ravenhill Dr, Atchison, KS 66002
Phone: 913-367-7300    Fax: 913-674-2030
Courtney R Owens, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 810 Ravenhill Dr, Atchison, KS 66002
Phone: 913-367-7300    Fax: 913-674-2030
Julie Turner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1412 N 2nd St, Atchison, KS 66002
Phone: 913-367-4879    Fax: 913-367-0240

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.