Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Jonathan Pedersen, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1477905867

Mr. Jonathan Pedersen, PHYSICIANASSISTANT is a Physician Assistant in Mankato, Minnesota. Qualified in 2016, 10 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 385-4863
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477905867
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 8, 2016
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients67
Services billed 67 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Mayo Clinic Health System - Mankato Hospital · Mankato, MN · listed as Mayo Clinic Health System-Southwest Minnesota Region
  • Mayo Clinic Health System - Albert Lea And Austin Hospital · Albert Lea, MN

Colleagues at Mayo Clinic Health System-Southwest Minnesota Region

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 667 clinicians in the practice; 12 are shown here.

Other providers in Mankato