SARAH ELIZABETH PEDERSEN (PA) – Physician Assistant, NPI 1134599210

SARAH ELIZABETH PEDERSEN (PA) is a healthcare provider. based in Saint joseph, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2015034091 (MO). The NPI Number for SARAH ELIZABETH PEDERSEN (PA) is 1134599210

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELIZABETH PEDERSEN (PA)
NPI
1134599210
Phone
(816) 935-9422
Address
3107 FREDERICK AVE
Enumeration Date
1 October 2015
Last Update Date
3 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162339888
Graduation Year
2015 (11 years ago)
PAC ID
1052611589
Group Practice PAC ID
5294700449
Professional Enrollment ID
I20151204001403
Address ID
MO645063082SA3107XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for SARAH ELIZABETH PEDERSEN (PA)

  • 3107 FREDERICK AVE

    SAINT JOSEPH, MO 645062956

    Phone: (816) 935-9422

    Fax: (816) 364-2575

    Type: Mailing

  • 5301 FARAON ST

    C

    SAINT JOSEPH, MO 645063512

    Phone: (816) 437-8122

    Fax: (816) 407-9609

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ACUMED LLC ($207).

Total Amount

$514

General + Research + Ownership

Payments

17

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2015-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (888 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20151204001403IPhysician AssistantMO2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes265234$0
99214Established patient office or other outpatient visit, 30-39 minutes127120$0
J1040Injection, methylprednisolone acetate, 80 mg11891$0
20610Aspiration and/or injection of fluid from large joint112102$0
73564X-ray of knee, 4 or more views7869$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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Provider's Procedures

SARAH ELIZABETH PEDERSEN (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO20610Aspiration and/or injection of large joint or joint capsule153123

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: 5294700449View full group profile
NameSpecialtyState
Physician AssistantMO
Orthopedic SurgeryVA
Orthopedic SurgeryMO
Physician AssistantGA
Orthopedic SurgeryMO
-MO
Nurse PractitionerMO
Physical Therapist In Private PracticeMO
Orthopedic SurgeryMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What identifier follows SARAH ELIZABETH PEDERSEN (PA) across health systems?
The NPI 1134599210 uniquely identifies SARAH ELIZABETH PEDERSEN (PA) in U.S. healthcare data.
Is SARAH ELIZABETH PEDERSEN (PA) currently accepting referrals based on NPI status?
Registry metadata lists SARAH ELIZABETH PEDERSEN (PA) as active.
Which specialty label fits SARAH ELIZABETH PEDERSEN (PA)?
NPPES ties SARAH ELIZABETH PEDERSEN (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SARAH ELIZABETH PEDERSEN (PA)?
The directory associates SARAH ELIZABETH PEDERSEN (PA) with Saint Joseph, Missouri. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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