JILLIAN RAE NEDVED (PA-C) – Physician Assistant, NPI 1225376890

JILLIAN RAE NEDVED (PA-C) is a healthcare provider. based in Pipestone, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2389 (MN). The NPI Number for JILLIAN RAE NEDVED (PA-C) is 1225376890

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN RAE NEDVED (PA-C)
NPI
1225376890
Phone
(507) 825-7340
Address
920 4TH AVE SW
Enumeration Date
16 January 2013
Last Update Date
26 January 2016

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
9032355763
Group Practice PAC ID
0345157103
Professional Enrollment ID
I20130424000814
Address ID
SD571051009SI1417XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

639 PHYSICIAN ASSISTANT in SD

Provider Addresses for JILLIAN RAE NEDVED (PA-C)

  • 920 4TH AVE SW

    STE 210

    PIPESTONE, MN 561641455

    Phone: (507) 825-7340

    Fax: (507) 825-7344

    Type: Mailing

  • 414 W 18TH ST

    SIOUX FALLS, SD 571044810

    Phone: (605) 271-2200

    Fax: (605) 271-2798

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Integra LifeSciences Corporation ($199).

Total Amount

$314

General + Research + Ownership

Payments

7

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130424000814IPhysician AssistantSDTBD
I20160208000587IPhysician AssistantMNTBD

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 56164)

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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: 0345157103View full group profile
NameSpecialtyState
Nurse PractitionerIA
-SD
Internal Medicine, HospitalistSD
-MN
Physical Therapist In Private PracticeSD
-SD
Diagnostic RadiologyOK
Nurse PractitionerSD
Nurse PractitionerSD
Hospice/Palliative CareSD

Reviews

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Frequently asked questions

What is the 10-digit NPI for JILLIAN RAE NEDVED (PA-C)?
JILLIAN RAE NEDVED (PA-C) — NPI 1225376890 — is the standard way to identify this listing.
Is JILLIAN RAE NEDVED (PA-C) still practicing?
JILLIAN RAE NEDVED (PA-C) is currently listed as active in the public NPI registry.
What is JILLIAN RAE NEDVED (PA-C) best known for clinically?
Directory data describes JILLIAN RAE NEDVED (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JILLIAN RAE NEDVED (PA-C) list a practice location?
Patients near Pipestone, Minnesota may find JILLIAN RAE NEDVED (PA-C) in results; validate coverage separately.
Is the information about JILLIAN RAE NEDVED (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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