Nicholas Pedersen
Nicholas Pedersen is a Physician Assistant in Cumberland, Wisconsin. Qualified in 2020, 6 years ago. Practices with Cumberland Memorial Hospital Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 6
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
1705 16th AveCumberland, WI 54829-8601
Phone: (715) 822-7500
Fax: (715) 822-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5071 (WI) |
|---|
Record details
| NPI number | 1619502275 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2020 |
| Last updated in NPPES | March 24, 2026 |
| Certification date | March 24, 2026 |
| Mailing address | 1705 16th Ave, Cumberland, WI 54829-8601 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Cumberland Memorial Hospital Inc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Cumberland
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Nicole Marie Huber, PA-C
1705 16th Ave, Cumberland, WI 54829-8601 · (715) 822-7500