Glenn A. Pederson
Nurse Practitioner · Jackson, MS
Glenn A. Pederson is a nurse practitioner with a practice address in Jackson, Mississippi, and NPI 1811171408, issued on Dec 19, 2007. Check the license (Mississippi R878258, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Glenn A. Pederson
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- R878258 MS
ARNP1604312 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1850 Chadwick Dr, Jackson, MS 39204
- Phone
- (601) 376-2944
- Enumerated
- Dec 19, 2007
- Record last updated
- Jul 9, 2010 (not updated in 16 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20090311000319); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 1,075 in Mississippi → Look up another NPI →
Also registered at 1850 Chadwick Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Devon AllredElectroneurodiagnostic Specialist/Technologist1346847274
- David Barnett, MDAnesthesiology Physician1689767782
- Rodney Biggs, NPFamily Nurse Practitioner1124400411
- Christopher Billsby, D.O.Emergency Medicine Physician1952832370
- Donald Bonner, D.O.Anesthesiology Physician1497788178
- Haley Boteler, OTD, OTR/LOccupational Therapist1326744251
Verify Glenn A. Pederson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license R878258Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average nurse practitioner in 2024
31 Medicare Part D claims for 23 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Paragon Emergency Services LLCSaint Johns, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Glenn A. Pederson among 1,075 nurse practitioner records in Mississippi
Glenn A. Pederson is one of 1,075 nurse practitioner records with a practice address in Mississippi. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 20% of them.
- NPI issued2007 · 20% of these records are older, 75% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1994 · median 2017 among the 686 with a school on file
- Record last updated2010 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
168 nurse practitioner records list a practice address in Jackson
They are 168 of the 6,997 NPPES records with a practice address in Jackson, and 1,075 nurse practitioner records in Mississippi.
All 1,075 in Mississippi → Every provider in Jackson → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Chandry Brown, FNP-BCJackson, MS 392041588236913
- Cassi Carter, RN, FNP-CJackson, MS 392041013580505
- Heather Hager, NPJackson, MS 392041740347483
- Dennis Long, NPJackson, MS 392041861436321
- Joanna McCollum, CFNPJackson, MS 392041649390782
- Linda McCoy, FAMILY NURSE PRACTITJackson, MS 392041750660163
- Kathryn Navarro, NPJackson, MS 392041003846015
- Michael Williams, NPJackson, MS 392041861436990
Common questions
What is Glenn A. Pederson's NPI number?
Glenn A. Pederson's National Provider Identifier (NPI) is 1811171408, issued on Dec 19, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Glenn A. Pederson located?
The NPPES record lists a practice address at 1850 Chadwick Dr, Jackson, MS, 39204. Phone: (601) 376-2944. Providers update this record themselves, so call before visiting.
How can I verify Glenn A. Pederson's license?
NPPES lists Mississippi license number R878258, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
How much does Glenn A. Pederson prescribe under Medicare Part D?
In 2024, Glenn A. Pederson had 31 Medicare Part D claims for 23 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.