Doctor profile · Federal record
Dr. Jacqueline Pederson, APRN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Atchison, KS
- NPI 1922670926
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
800 Ravenhill Dr Ste 100&107
Atchison, KS 660029204
(913) 367-7300
fax (913) 674-2030 - Additional location
-
1004 Progress Dr Ste 180&145
Lansing, KS 660436326
(913) 297-3215
fax (913) 297-2732 - Additional location
-
1903 Euclid Ave
Horton, KS 664391238
(785) 486-2468
fax (785) 486-2371 - Additional location
-
311 W Locust St
Troy, KS 660875252
(785) 985-3504
fax (785) 985-3813 - Additional location
-
801 Atchison St
Atchison, KS 660022352
(913) 367-5020
fax (913) 367-1089 - Mailing address
-
800 Ravenhill Dr
Atchison, KS 660029204
Show 2 more locations
Credentials & registration
- NPI registered
- July 2021 — 5 yrs on file
- Profile last updated
- March 17, 2026
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Kansas #53-80318
- Medicaid (2)
- KS #30004760070001 · MO #420100370
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922670926. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$419
Transactions
21
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 4 | $82.57 | |
| Abbvie INC. | 4 | $73.31 | |
| Organon LLC | 1 | $63.47 | |
| Lilly USA, LLC | 3 | $53.89 | |
| Amgen INC. | 3 | $49.57 | |
| Novartis Pharmaceuticals Corporation | 2 | $30.99 | |
| Lundbeck LLC | 1 | $20.87 | |
| Pfizer INC. | 1 | $16.28 | |
| GlaxoSmithKline, LLC. | 1 | $14.65 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $13.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
179
Patients
158
Total drug cost
$1,700
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 41 | 37 | $392 |
| Azithromycin | Generic | 30 | 28 | $186 |
| Methylprednisolone | Generic | 26 | 26 | $285 |
| Doxycycline Hyclate | Generic | 21 | 19 | $176 |
| Prednisone | Generic | 19 | 18 | $39 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 17 | 17 | $232 |
| Cefdinir | Generic | 14 | 13 | $248 |
| Nystatin | Generic | 11 | 0 | $142 |
Frequently asked questions
What is Dr. Jacqueline Pederson's medical specialty?
Dr. Jacqueline Pederson practices Family Nurse Practitioner in Atchison, KS.
Where does Dr. Jacqueline Pederson practice?
Dr. Jacqueline Pederson practices at 800 Ravenhill Dr Ste 100&107, Atchison, KS 660029204. Office phone: 9133677300.
What is Dr. Jacqueline Pederson's NPI?
Dr. Jacqueline Pederson's National Provider Identifier (NPI) is 1922670926, issued by NPPES.
Does Dr. Jacqueline Pederson accept Medicare assignment?
Yes. Dr. Jacqueline Pederson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.