Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Pedersen, FNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1023833464

Mrs. Mary Pedersen, FNP-BC is a Nurse Practitioner in Iowa City, Iowa. Qualified in 2024, 2 years ago. Practices with State University of Iowa, a 1,885-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
2
Licensed in
IA
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 356-3572
Fax: (319) 356-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence A181930 (IA)

Record details

NPI number1023833464
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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