Doctor profile · Federal record

Dr. Jacob Pederson, APRN CNP

Gerontology Nurse Practitioner (CMS: Nurse Practitioner) · Fargo, ND

  • NPI 1770243727
  • Accepts Medicare
  • 5 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3000 32Nd Ave S
Fargo, ND 581036132
(701) 364-8000
Mailing address
400 E 3Rd St
Duluth, MN 558051951

Credentials & registration

NPPES · NUCC
NPI registered
December 2021 — 5 yrs on file
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363LG0600X — NUCC code
State license (1)
North Dakota #R51672

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1770243727. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
914
Distinct HCPCS
4
Medicare allowed
$90,451
HCPCS Description Services Patients Avg allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 671 215 $97
99239 Hospital discharge day management, more than 30 minutes 149 147 $94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 73 71 $106
99291 Critical care, first 30-74 minutes 21 16 $173

In context: peer comparison

Among 1 peers in Fargo Gerontology Nurse Practitioner, average services per provider: 228. This provider delivers 4.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
479
Patients
117
Total drug cost
$28,048
Drug Type Claims Patients Total cost
Levothyroxine Sodium Generic 64 0 $561
Eliquis (Apixaban) Brand 60 19 $24,274
Amlodipine Besylate Generic 50 17 $246
Potassium Chloride Generic 41 0 $623
Metoprolol Succinate Generic 40 21 $407
Atorvastatin Calcium Generic 39 17 $281
Torsemide Generic 29 11 $242
Famotidine Generic 28 0 $263
Donepezil Hcl Generic 21 0 $137
Pantoprazole Sodium Generic 21 14 $246

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacob Pederson's medical specialty?
Dr. Jacob Pederson practices Gerontology Nurse Practitioner in Fargo, ND.
Where does Dr. Jacob Pederson practice?
Dr. Jacob Pederson practices at 3000 32Nd Ave S, Fargo, ND 581036132. Office phone: 7013648000.
What is Dr. Jacob Pederson's NPI?
Dr. Jacob Pederson's National Provider Identifier (NPI) is 1770243727, issued by NPPES.
Does Dr. Jacob Pederson accept Medicare assignment?
Yes. Dr. Jacob Pederson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Pederson commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.