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

Jacqueline R Pederson, APRN

Individual provider Family Nurse Practitioner · NPI 1922670926

Jacqueline R Pederson, APRN is a Nurse Practitioner in Atchison, Kansas. Qualified in 2021, 5 years ago. Practices with Amberwell Atchison Association, a 53-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204
Phone: (913) 367-7300
Fax: (913) 674-2030
Show map & directions

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

Additional practice locations (4)

  • 801 Atchison St, Atchison, KS 66002-2352 — (913) 367-5020
  • 1903 Euclid Ave, Horton, KS 66439-1238 — (785) 486-2468
  • 1004 Progress Dr Ste 180&145, Lansing, KS 66043-6326 — (913) 297-3215
  • 311 W Locust St, Troy, KS 66087-5252 — (785) 985-3504

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-80318 (KS)

Record details

NPI number1922670926
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 11, 2021
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Amberwell Atchison Association — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Atchison