Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619502275 Individual Practitioner Male Practitioner

Nicholas Pedersen

Physician Assistant • Cumberland, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Pedersen is a certified Physician Assistant practicing in Cumberland, WI. With approximately 6 years of clinical experience since completing medical education in 2020, Nicholas Pedersen delivers high-quality medical care to the local community at 1705 16TH AVE.

Nicholas Pedersen is affiliated with Cumberland Memorial Hospital Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1705 16th Ave

Cumberland, WI 548298601

Telephone 7158227500
Fax 7158227501
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cumberland, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Cumberland, WI (3517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (6 Years) 6 Yrs
Cumberland Specialty Average (11.5 Years) 11.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 5071

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.

Hospital & Practice Group Affiliations

Cumberland Memorial Hospital Inc

1705 16th Ave, Cumberland, WI 548298601

Phone: 7158227222

Practice Associates & Co-Workers

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

17 Associated Practitioners
Sarah Farr , FNP-C

Nurse Practitioner - Family

NPI 1013753250

Family Nurse Practitioner (Certified)

Dr. Adam Neter , MD

Family Medicine

NPI 1083108781

Doctor of Medicine (M.D.)

Jennifer Murdza , FNP-BC

Nurse Practitioner - Family

NPI 1225410624

Family Nurse Practitioner (Board Certified)

Tessa Feeney , APNP

Nurse Practitioner

NPI 1235896325

Advanced Practice Nurse Prescriber

Nicole Huber , PA-C

Physician Assistant

NPI 1437472685

Physician Assistant (Certified)

Hope Desantis

Occupational Therapist - Pediatrics

NPI 1477121820

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 24, 2026

Registered at 1705 16TH AVE, CUMBERLAND, WI 548298601 (Tel: 7158227500)

📍
Updated Business Mailing Address March 24, 2026

Registered at 1705 16TH AVE, CUMBERLAND, WI 548298601 (Tel: 7158227500)

📍
Updated Business Mailing Address June 17, 2020

Registered at 1110 7TH AVE, CUMBERLAND, WI 548299138

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2020

Physician Assistant (License #5071 in WI)

NPI Profile Active March 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2020

Registered at 1110 7TH AVE, CUMBERLAND, WI 548299138 (Tel: 7158227500)

📍
Updated Business Mailing Address March 04, 2020

Registered at 750 HIGHLAND AVE, MADISON, WI 537052221

👤
Provider Name / Credentials Updated March 04, 2020

Recorded as NICHOLAS PEDERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 04, 2020

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: 1619502275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2020
Last Update: March 24, 2026
Sole Proprietor: Yes

Mailing Address

1705 16th Ave

Cumberland, WI 548298601

Phone: 7158227500

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.