Jonathan Pedersen, PHYSICIAN ASSISTANT
NPI 1477905867ActiveIndividual· Physician Assistant· Mankato, MN
Physician Assistant (PHYSICIAN ASSISTANT) with Mayo Clinic Health System-Southwest Minnesota Region, practicing in Mankato, Minnesota. Medicare paid $7,226 for services to 67 patients in 2024. Lists Mayo Clinic Health System - Albert Lea and Austin and 1 other hospital as hospital affiliations.
Overview
| NPI | 1477905867 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jul 8, 2016 |
| Last updated in NPPES | Feb 3, 2021 |
| Certified by provider | Feb 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 67 across 5 procedure codes |
| Paid by Medicare | $7,226 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Mayo Clinic Health System-Southwest Minnesota RegionMankato, MN · 661 clinicians
Hospital affiliations
- Mayo Clinic Health System - Albert Lea and AustinAlbert Lea, MN
- Mayo Clinic Health System - MankatoMankato, MN
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 79 physician assistants in Mankato · All physician assistants in Minnesota