BLAKE PEDERSEN – Psychiatric/Mental Health Nurse Practitioner, NPI 1265381420

BLAKE PEDERSEN is a healthcare provider. based in Emmetsburg, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. G188690 (IA). The NPI Number for BLAKE PEDERSEN is 1265381420

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BLAKE PEDERSEN
NPI
1265381420
Phone
(712) 852-5500
Address
3201 1ST ST
Enumeration Date
22 January 2026
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7128525500
Graduation Year
2025 (1 year ago)
PAC ID
6608350269
Group Practice PAC ID
4486563061
Professional Enrollment ID
I20260320002859
Address ID
IA505362516EM3201XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for BLAKE PEDERSEN

  • 3201 1ST ST

    EMMETSBURG, IA 505362516

    Phone: (712) 852-5500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 50536)

Loading plans...

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: 4486563061View full group profile
NameSpecialtyState
JORDYN MARIE HARMAN (CNP)
-IA
JENNIFER GRAVENISH (ARNP)
Nurse PractitionerIA
ARIELLE HARRIS (LMSW)
Clinical Social WorkerIA
SARA BOYSEN (ARNP)
Nurse PractitionerIA
CAROL PIERCE (ARNP)
-IA
MRS. ANNA M ZWIEFEL (CNP)
Nurse PractitionerIA
MRS. TERESA M WILKINSON (LISW)
-IA
AMBER HOUGE (PA)
Physician AssistantIA
THOMAS JUDE GETTA (MD)
Family PracticeIA
JASON MICHAEL PATTON (M.D)
Family PracticeIA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to BLAKE PEDERSEN?
NPI 1265381420 is assigned to BLAKE PEDERSEN under the national enumeration system.
Is BLAKE PEDERSEN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BLAKE PEDERSEN?
The page reflects Psychiatric/Mental Health Nurse Practitioner for BLAKE PEDERSEN. Clinical services aligned with this taxonomy classification.
What location metadata exists for BLAKE PEDERSEN?
The page summarizes Emmetsburg, Iowa for BLAKE PEDERSEN; expand the address list for detail.
Is BLAKE PEDERSEN a real provider?
This page reflects official NPPES data for NPI 1265381420. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MRS. MARKIE LYNN SARGENT (ARNP)

Primary Care Nurse Practitioner
180 10TH ST SE STE 201
NPI: 1225538911

JENNIFER GRAVENISH (ARNP)

Psychiatric/Mental Health Nurse Practitioner
930 W BLUFF ST
NPI: 1164093399