DAWN ELAINE PEDERSEN (APRN - CNP) – Family Nurse Practitioner, NPI 1932213147
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DAWN ELAINE PEDERSEN (APRN - CNP)
112, East Amber Lake Drive, Fairmont, Martin County, Minnesota, 56031, United States
FAIRMONT, MN 560313425
Phone: (507) 235-2605
Type: Mailing
Super Target, 18275 - 18331, Kenrick Avenue, Lakeville, Dakota County, Minnesota, 55044, United States
LAKEVILLE, MN 550447306
Phone: (952) 892-5400
Fax: (952) 892-5454
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041214000092 | I | Nurse Practitioner | MN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 65 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 56031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | IA | |
| Certified Nurse Midwife (Cnm) | IA | |
| Certified Nurse Midwife (Cnm) | IA | |
| Family Practice | CO | |
| Mental Health Counselor | MN | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA |
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