Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Pedersen

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1265381420

Blake Pedersen is a Nurse Practitioner in Emmetsburg, Iowa. Qualified in 2025, 1 year ago. Practices with Palo Alto County Hospital, a 21-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2026

Practice location Address checks out

3201 1st St
Emmetsburg, IA 50536-2516
Phone: (712) 852-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence G188690 (IA)

Record details

NPI number1265381420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address3201 1st St, Emmetsburg, IA 50536-2516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Palo Alto County Hospital — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount