Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
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Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 385-4863
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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
Mailing address415 Brown Ave, Greensburg, PA 15601-2251

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

Other providers in Mankato