Glenn Pederson
NPI 1811171408 · Nurse Practitioner · Jackson, MS
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenn Pederson is a Nurse Practitioner provider in Jackson, MS (NPI 1811171408).
Provider details
- NPI number
- 1811171408
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R878258 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
33 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 18 | $149 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 15 | $103 |
Typical Medicare-allowed amounts for these services range $103–$149 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-19
- Last updated
- 2010-07-09
Frequently asked questions
- What is Glenn Pederson's NPI number?
- Glenn Pederson's National Provider Identifier (NPI) is 1811171408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Pederson's specialty?
- Glenn Pederson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glenn Pederson located?
- Glenn Pederson's practice location on file with NPPES is 1850 Chadwick Dr, Jackson, MS 39204-3404.
- What is Glenn Pederson's phone number?
- The practice phone number listed in the NPPES registry for Glenn Pederson is (601) 376-2944.
- Does Glenn Pederson accept Medicare?
- Glenn Pederson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glenn Pederson's NPI active?
- Yes — Glenn Pederson's NPI (1811171408) is active in the NPPES registry as of the last update on 2010-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.