Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730278037 Individual Practitioner Female Practitioner

Kim R Pederson , MHS PA-C

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Kim Pederson, MHS PA-C is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 501 SE 172ND AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Se 172nd Ave

Vancouver, WA 986849542

Telephone 3608822778
Fax 3606041712
Associated Practice Facility / Clinic
🏢 The Vancouver Clinic Inc Ps Facility NPI 1992759427

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
33 33 $227.00 $63.54

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60511027

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MN 10200

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License ME PA1356

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41952400 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jonathan Riggs , PA

Physician Assistant

NPI 1003149147

Physician Assistant

Dr. Jose Rivera , MD

Internal Medicine - Infectious Disease

NPI 1003349176

Doctor of Medicine (M.D.)

Kanuboddu Reddy

Internal Medicine

NPI 1003349820
Dr. Aaron Kaplan , MD

Radiology - Diagnostic Radiology

NPI 1003853755

Doctor of Medicine (M.D.)

Dr. Jeff Brent , MD

Emergency Medicine - Sports Medicine

NPI 1013124734

Doctor of Medicine (M.D.)

NPI 1013237379

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2015

Registered at 501 SE 172ND AVE, VANCOUVER, WA 986849542 (Tel: 3608822778)

📍
Updated Business Mailing Address March 03, 2015

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986641913 (Tel: 3608822778)

👤
Provider Name / Credentials Updated March 03, 2015

Recorded as KIM PEDERSON, MHS PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

Physician Assistant (License #PA60511027 in WA)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kim Pederson. Be the first to share your experience!

Sign in to leave a review for Kim Pederson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1730278037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: March 03, 2015
Sole Proprietor: No

Mailing Address

700 Ne 87th Ave

Vancouver, WA 986641913

Phone: 3608822778

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.