PRICILA PEDERSEN (APRN) – Nurse Practitioner, NPI 1841004496

PRICILA PEDERSEN (APRN) is a healthcare provider. based in West point, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 115875 (NE). The NPI Number for PRICILA PEDERSEN (APRN) is 1841004496

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
PRICILA PEDERSEN (APRN)
NPI
1841004496
Phone
(402) 372-6717
Address
430 N MONITOR ST
Enumeration Date
4 February 2025
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023722404
Graduation Year
2024 (2 years ago)
PAC ID
3173046976
Group Practice PAC ID
4284624909
Professional Enrollment ID
I20250402002452
Address ID
NE687881595WE430XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for PRICILA PEDERSEN (APRN)

  • 430 N MONITOR ST

    WEST POINT, NE 687881595

    Phone: (402) 372-6717

    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)

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: 2025-04-02

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
I20250402002452INurse PractitionerNETBD

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 68788)

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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: 4284624909View full group profile
NameSpecialtyState
Nurse PractitionerNE
Physician AssistantNE
-NE
Plastic And Reconstructive Surgery, General SurgerySD
Family PracticeNE
General SurgeryNE
Physician AssistantNE
Family PracticeNE
Hand Surgery, Orthopedic SurgeryMN
Family PracticeNE

Reviews

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Frequently asked questions

What is PRICILA PEDERSEN (APRN)'s NPI number?
PRICILA PEDERSEN (APRN)'s NPI is 1841004496 — the number used across U.S. healthcare to identify this provider.
Would PRICILA PEDERSEN (APRN) appear as active to a payer?
You can treat PRICILA PEDERSEN (APRN) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PRICILA PEDERSEN (APRN)?
At a glance, PRICILA PEDERSEN (APRN) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is PRICILA PEDERSEN (APRN) associated with West Point?
Public fields place PRICILA PEDERSEN (APRN) around West Point, Nebraska. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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