Mr. Jacob Kohl Pederson
APRN CNP | Nurse Practitioner - Gerontology | 4+ years Exp
3000 32nd Ave S, Fargo
North Dakota, 58103-6132
701-364-8000
Mr. Jacob Kohl Pederson is a Fargo, North Dakota based nurse practitioner with 4 years of experience in Gerontology. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jacob Kohl Pederson is R51672 for Gerontology in North Dakota. His current practice location is 3000 32nd Ave S, Fargo. Patients can reach him at 701-364-8000. Mr. Jacob Kohl Pederson is APRN CNP with specialization in Gerontology and his NPI number (Unique professional ID assigned by NPPES) is 1770243727.
Mr. Jacob Kohl Pederson is specially trained to treat the complex physical and mental health needs of older adults. He have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for his patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Mr. Jacob Kohl Pederson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Jacob Kohl Pederson |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Male |
| Credentials: | APRN CNP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3000 32nd Ave S, Fargo,
North Dakota, 58103-6132 |
| Phone: | 701-364-8000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3072905892 |
| Enrollment ID: | I20220127001950 |
| NPI Number: | 1770243727 |
| NPI Enumeration Date: | 17 Dec, 2021 |
| NPI Last Update On: | 17 Dec, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jacob Kohl Pederson are as mentioned below.
| License Number | Specialization | State | Status | |
| R51672 | Gerontology | North Dakota | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (350070) | Fargo, ND | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Jacob Kohl Pederson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Innovis Health Llc (9931298155) | 404 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Jacob Kohl Pederson
400 E 3rd St,
Duluth, Minnesota |
| Zip: | 55805-1951 |
| Phone Number: | 218-786-8364 |
Patients can reach Mr. Jacob Kohl Pederson at
3000 32nd Ave S, Fargo, North Dakota or can
call to book an appointment on 701-364-8000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.