Jacob Kohl Pederson, APRN, CNP
- Medicare patients, 2024
- 194
- Part D claims, 2024
- 416
- MIPS score, 2024
- 94
- Hospital affiliations
- 3
- Medical groups
- 7
- Practice address
- 3000 32nd Ave S, Fargo, ND 58103
- Practice phone
- Call (701) 364-8000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Essentia Health-Fargo
Surgery Center - Not Medicare-Certified · Fargo, North Dakota
Find Jacob Pederson's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jacob Kohl Pederson is a gerontology nurse practitioner in Fargo, North Dakota
Jacob Pederson practices at Essentia Health-Fargo in Fargo, North Dakota.
Jacob Pederson's NPI, 1770243727, was assigned on December 17, 2021. Jacob Pederson holds North Dakota license R51672.
- NPI
- 1770243727NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3072905892
- NPI enumeration date
- December 17, 2021
- NPI status
- Active
- Practice phone
- (701) 364-8000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Jacob Kohl Pederson practices at Essentia Health-Fargo in Fargo, North Dakota
Jacob Pederson's primary practice is Essentia Health-Fargo, at 3000 32nd Ave S, Fargo, ND 58103. The practice phone is (701) 364-8000.
- Essentia Health-Fargo3000 32nd Ave S, Fargo, ND 58103Phone(701) 364-8000
Source: Dmand AI Affiliation Data
Jacob Kohl Pederson is affiliated with 5 sites of care and 7 medical groups
Jacob Pederson's primary practice is Essentia Health-Fargo in Fargo, North Dakota. Jacob Pederson is also affiliated with Essentia Health-Fargo. The medical group on file is Essentia Health-Duluth Clinic. Dmand AI also links Jacob Pederson to 2 more hospitals, 6 medical groups and 1 breast imaging center, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Jacob Kohl Pederson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jacob Pederson practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Essentia Health-Fargo | Available with a free account |
| +4 more sites and 6 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Jacob Kohl Pederson is one of 19 gerontology nurse practitioners in North Dakota
Gerontology is Jacob Pederson's primary specialty in the NPI Registry, under taxonomy code 363LG0600X. Jacob Pederson is licensed in North Dakota.
Specialties and state licenses
- Gerontology nurse practitioner, North DakotaPrimary
Gerontology nurse practitioners near Jacob Pederson
Counts of gerontology nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jacob Kohl Pederson treated 194 Medicare patients in 2024, average age 75
CMS counts 194 Medicare patients who saw Jacob Pederson in 2024. The largest group is 75 to 84, with 61 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 21% are also on Medicaid. Their average risk score is 2.36, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Jacob Pederson's median patient age at 77, with 52% women.
Jacob Pederson's Medicare patients by age, 2024
Jacob Pederson's Medicare patients by sex, 2024
- Women9448%
- Men10052%
Chronic conditions among Jacob Pederson's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis63%
- Chronic kidney disease54%
- Ischemic heart disease49%
- Heart failure45%
- Mood disorders41%
- Depression39%
Share of Medicare patients with each condition. A patient can have several.
Jacob Pederson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 77
Patient panel by sex, all payers
- Women52%
- Men48%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Jacob Kohl Pederson wrote 416 Medicare Part D claims in 2024
In 2024, Jacob Pederson wrote 416 Medicare Part D claims for 135 patients. 80% of them were for generic drugs.
Jacob Pederson's Part D claims by kind of drug, 2024
- Generic332 claims80%
- Brand-name and other84 claims20%
Drug classes CMS tracks in Jacob Pederson's Part D claims, 2024
- Antibiotics13%53 of 416 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Jacob Kohl Pederson scored 94 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Jacob Pederson for performance year 2024, reported through an alternative payment model (APM).
Jacob Pederson's MIPS scores, performance year 2024
- 94of 100Final score
- 80.4of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Sources for Jacob Kohl Pederson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jacob Kohl Pederson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jacob Kohl Pederson's NPI number?
Jacob Kohl Pederson's NPI number is 1770243727. It was assigned on December 17, 2021, and it is active in the NPI Registry.
What does Jacob Kohl Pederson specialize in?
Jacob Kohl Pederson is a gerontology nurse practitioner in Fargo, North Dakota. The primary specialty in the NPI Registry is Gerontology Nurse Practitioner (taxonomy code 363LG0600X).
Where does Jacob Kohl Pederson practice?
Jacob Pederson practices at 3000 32nd Ave S, Fargo, ND 58103. Jacob Pederson's primary practice is Essentia Health-Fargo in Fargo, North Dakota. Dmand AI also links Jacob Pederson to 2 hospitals, 6 medical groups and 1 breast imaging center.
What is Jacob Kohl Pederson's office phone number?
The practice phone on file for Jacob Pederson is (701) 364-8000.
What is Jacob Kohl Pederson's medical license number?
Jacob Pederson holds North Dakota license R51672.
Which hospitals is Jacob Kohl Pederson affiliated with?
Jacob Pederson is affiliated with Essentia Health-Fargo. Dmand AI links Jacob Pederson to 2 more hospitals.
What medical group is Jacob Kohl Pederson part of?
Jacob Pederson is linked to Essentia Health-Duluth Clinic. Dmand AI links Jacob Pederson to 6 more medical groups.
What is Jacob Kohl Pederson's MIPS score?
Jacob Pederson's MIPS final score for performance year 2024 is 94 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Jacob Kohl Pederson see?
CMS counts 194 Medicare patients who saw Jacob Pederson in 2024, with an average age of 75.
How long has Jacob Kohl Pederson been practicing?
Jacob Pederson graduated from medical school in 2021, 5 years ago.
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