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

Lauren Ashley Pederson, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184252504

Lauren Ashley Pederson, PA-C is a Physician Assistant in Watertown, Wisconsin. Qualified in 2020, 6 years ago. Practices with Watertown Family Practice Associates, SC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Watertown, WI

Additional practice locations (1)

  • 750 Highland Ave, Madison, WI 53705-2221 — (414) 559-6744

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184252504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Watertown Family Practice Associates, Sc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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