Jacob Kohl Pederson, APRN CNP
Gerontology Nurse Practitioner · Fargo, ND
Jacob Kohl Pederson, APRN CNP is a gerontology nurse practitioner with a practice address in Fargo, North Dakota, and NPI 1770243727, issued on Dec 17, 2021. Check the license (North Dakota R51672, as entered in NPPES) with the North Dakota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Kohl Pederson
- Credential
- APRN CNP
- Primary taxonomy
- Gerontology Nurse Practitioner 363LG0600X
- License number
- R51672 ND
Self-reported in NPPES; status is on the state search - Practice location
- 3000 32ND Ave S, Fargo, ND 58103
- Phone
- (701) 364-8000
- Enumerated
- Dec 17, 2021
- Record last updated
- Dec 17, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20230907003887); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gerontology nurse practitioner records → All 21 in North Dakota → Look up another NPI →
Also registered at 3000 32ND Ave S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Suha Abu Khalaf, MDInfectious Disease Physician1235623331
- Marwan Abu Minshar, M.D.Nephrology Physician1093096406
- Saloni Agarwal, M.D.Neonatal-Perinatal Medicine Physician1477808939
- Ozheh Aghdasi, M.D.Hospitalist Physician1710413679
- Olayinka Ajayi, MDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician1063773547
- Samuel Ajayi, MDNeonatal-Perinatal Medicine Physician1346535218
Verify Jacob Kohl Pederson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Dakota board licenses this profession
Search for license R51672Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
70% fewer Medicare Part D claims than the average gerontology nurse practitioner in 2024
416 Medicare Part D claims for 135 beneficiaries, against an average of 1,369 among the 6,165 providers of this specialty who prescribed in Part D.
Most prescribed
- Potassium Chloride34 claims
- Eliquis33 claims
- Famotidine29 claims
- Levothyroxine Sodium29 claims
- Furosemide23 claims
- Metoprolol Succinate18 claims
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 3 group practices
- Innovis Health LLCFargo, ND
- St Marys Regional Health CenterDetroit Lakes, MN
- The Duluth Clinic LtdDuluth, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Kohl Pederson among 21 gerontology nurse practitioner records in North Dakota
Jacob Kohl Pederson, APRN CNP is one of 21 gerontology nurse practitioner records with a practice address in North Dakota. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 43% of them.
- NPI issued2021 · 43% of these records are older, 33% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 48% of these records are
- Graduated2021 · median 2020 among the 10 with a school on file
- Record last updated2021 · 24% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a North Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gerontology Nurse Practitioner providers in North Dakota
There are 21 gerontology nurse practitioner records in North Dakota.
All 21 in North Dakota → Every provider in Fargo → Gerontology Nurse Practitioner nationwide →
The 8 gerontology nurse practitioner records with the nearest ZIP codes
- Melissa John, APRN, CNPFargo, ND 581031609177674
- Breanna Mohagen, APRNFargo, ND 581031083368054
- Mercy AndohFargo, ND 581021275359507
- Amy Hestbeck, NPCFargo, ND 581021306137195
- Nicole Windjue, GNP-BCFargo, ND 581021750634622
- Amanda Arneson, AGNP-CGrand Forks, ND 582011932847860
- Estella Boger, GNP-CGrand Forks, ND 582011003833435
- Marlee Leonard, AGACNPGrand Forks, ND 582011194488197
Common questions
What is Jacob Kohl Pederson, APRN CNP's NPI number?
Jacob Kohl Pederson, APRN CNP's National Provider Identifier (NPI) is 1770243727, issued on Dec 17, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Kohl Pederson, APRN CNP located?
The NPPES record lists a practice address at 3000 32ND Ave S, Fargo, ND, 58103. Phone: (701) 364-8000. Providers update this record themselves, so call before visiting.
How can I verify Jacob Kohl Pederson, APRN CNP's license?
NPPES lists North Dakota license number R51672, as entered by the provider. Search the North Dakota board that licenses this profession; the NPPES record confirms identity only.
How much does Jacob Kohl Pederson, APRN CNP prescribe under Medicare Part D?
In 2024, Jacob Kohl Pederson, APRN CNP had 416 Medicare Part D claims for 135 beneficiaries; the average among gerontology nurse practitioner prescribers was 1,369. 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.