Jenna Pederson
NPI 1063966158ActiveIndividual· Nurse Practitioner, Family· Oak Park, IL
Nurse Practitioner, Family in Oak Park, Illinois, trained at Rush Medical College of Rush University (class of 2011). Mostly services rather than prescriptions: Medicare paid $1,040 for 20 patients in 2024, with only 26 Part D claims.
Overview
| NPI | 1063966158 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 7, 2016 |
| Last updated in NPPES | Jan 2, 2020 |
| Certified by provider | Jan 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209.014598 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 21 across 5 procedure codes |
| Paid by Medicare | $1,040 |
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 26 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $483.70 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 family nurse practitioners in Oak Park · All family nurse practitioners in Illinois