KATELYN JOY PEDERSEN (ARNP) – Family Medicine Physician, NPI 1063021137
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for KATELYN JOY PEDERSEN (ARNP)
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5700
Type: Mailing
PO BOX 1648
EUGENE, OR 974401648
Phone: (541) 242-4384
Fax: (541) 463-2820
Type: Mailing
3927 Rucker Ave
Everett, WA 982014833
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Location
1959 NE Pacific St
Seattle, WA 981954833
Phone: (206) 520-5000
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Mailing
3927 RUCKER AVE
EVERETT, WA 982014833
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Location
2830 CRESCENT AVE
EUGENE, OR 974087397
Phone: (541) 686-9000
Fax: (541) 242-4585
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: 2024-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200925001991 | I | Nurse Practitioner | WA | TBD |
| I20240828000915 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 77 | $0 |
| 99421 | Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes | 70 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 54 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 31 | 31 | $0 |
| 87086 | Bacterial colony count, urine | 25 | 25 | $0 |
Insurance plans in this area (ZIP 98145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Emergency Medicine | OR |
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