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Active NPI 1811171408 Individual Practitioner Male Practitioner

Glenn A Pederson

Nurse Practitioner • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Glenn Pederson is a certified Nurse Practitioner practicing in Jackson, MS. With approximately 32 years of clinical experience since completing medical education in 1994, Glenn Pederson delivers high-quality medical care to the local community at 1850 CHADWICK DR.

Glenn Pederson is affiliated with Paragon Emergency Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1850 Chadwick Dr

Jackson, MS 392043404

Telephone 6013762944
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +18.6 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pederson (32 Years) 32 Yrs
Jackson Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
18 18 $2429.44 $148.53
99284 Emergency department visit with moderate level of medical decision making
15 15 $1714.13 $102.71

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R878258

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL ARNP1604312

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Paragon Emergency Services Llc

42 Doctors Village Dr, Saint Johns, FL 322592245

Phone: 9042305000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Ebony Thomas , LCSW

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Licensed Clinical Social Worker

Cassi Carter , RN, FNP-C

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NPI 1013580505

Registered Nurse, Family Nurse Practitioner (Certified)

Dr. David Monaco , MD

Emergency Medicine

NPI 1013612894

Doctor of Medicine (M.D.)

Donna Ricotta , NP

Nurse Practitioner - Family

NPI 1013614064

Nurse Practitioner

Elizabeth Yates , NP-C

Nurse Practitioner - Family

NPI 1023323078

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2010

Registered at 1850 CHADWICK DR, JACKSON, MS 392043404 (Tel: 6013762944)

📍
Updated Business Mailing Address July 09, 2010

Registered at 18167 US HIGHWAY 19 N, SUITE 285, CLEARWATER, FL 337643528

👤
Provider Name / Credentials Updated July 09, 2010

Recorded as GLENN PEDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2010

Emergency Medicine (License #ARNP1604312 in FL)

🟢
Initial NPI Registration & Enumeration December 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811171408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2007
Last Update: July 09, 2010
Sole Proprietor: No

Mailing Address

18167 Us Highway 19 N, Suite 285

Clearwater, FL 337643528

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.