MR. RICHARD WALDEMAR PEDERSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1326359050

MR. RICHARD WALDEMAR PEDERSEN (CRNA) is a healthcare provider. based in Hollywood, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP 1449122 (FL). The NPI Number for MR. RICHARD WALDEMAR PEDERSEN (CRNA) is 1326359050

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD WALDEMAR PEDERSEN (CRNA)
NPI
1326359050
Phone
(954) 966-0721
Address
2120 N 57TH WAY
Enumeration Date
28 June 2010
Last Update Date
2 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7867159183
Graduation Year
2009 (17 years ago)
PAC ID
5991999443
Group Practice PAC ID
4284156613
Professional Enrollment ID
I20101029000068
Address ID
FL331442069MI8260XSTXX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MR. RICHARD WALDEMAR PEDERSEN (CRNA)

  • 2120 N 57TH WAY

    HOLLYWOOD, FL 330213827

    Phone: (954) 966-0721

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$37
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101029000068ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284156613View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

Can I verify MR. RICHARD WALDEMAR PEDERSEN (CRNA) with an NPI only?
You can start verification with NPI 1326359050 for MR. RICHARD WALDEMAR PEDERSEN (CRNA), then check state licensing separately.
Is MR. RICHARD WALDEMAR PEDERSEN (CRNA) listed as active for patients and plans?
The listing shows MR. RICHARD WALDEMAR PEDERSEN (CRNA) as active in the NPI system.
What healthcare role does MR. RICHARD WALDEMAR PEDERSEN (CRNA) hold?
Scheduling teams often label MR. RICHARD WALDEMAR PEDERSEN (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MR. RICHARD WALDEMAR PEDERSEN (CRNA) list a practice location?
Patients near Hollywood, Florida may find MR. RICHARD WALDEMAR PEDERSEN (CRNA) in results; validate coverage separately.
Why does MR. RICHARD WALDEMAR PEDERSEN (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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