Jenna Pederson
NPI 1063966158 · Family Nurse Practitioner · Oak Park, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenna Pederson is a Family Nurse Practitioner provider in Oak Park, IL (NPI 1063966158).
Provider details
- NPI number
- 1063966158
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.014598 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 14 Lake StOak Park, IL 60302-2606Phone: (708) 383-9911
Registry dates
- Enumerated
- 2016-08-07
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Frequently asked questions
- What is Jenna Pederson's NPI number?
- Jenna Pederson's National Provider Identifier (NPI) is 1063966158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenna Pederson's specialty?
- Jenna Pederson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jenna Pederson located?
- Jenna Pederson's practice location on file with NPPES is 3 Erie Ct Ste 1300, Oak Park, IL 60302-2519.
- What is Jenna Pederson's phone number?
- The practice phone number listed in the NPPES registry for Jenna Pederson is (708) 406-3929.
- Does Jenna Pederson accept Medicare?
- Jenna Pederson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jenna Pederson's NPI active?
- Yes — Jenna Pederson's NPI (1063966158) is active in the NPPES registry as of the last update on 2020-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.