Nicholas Pedersen
Physician Assistant · Cumberland, WI
Practice location
1705 16TH AveCumberland, WI 54829-8601
- Phone
- (715) 822-7500
- Fax
- (715) 822-7501
NPI record
- NPI
- 1619502275
- Entity type
- Individual (Type 1)
- Enumeration date
- March 4, 2020
- Last updated
- March 24, 2026
- Certified
- March 24, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
5071 | WI |
About Nicholas Pedersen
Nicholas Pedersen is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1705 16TH Ave, Cumberland, WI 54829-8601. The NPI number 1619502275 was assigned on March 4, 2020 and the record was last updated on March 24, 2026.
Nicholas Pedersen lists a license in the registry: #5071 (WI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Nicholas Pedersen?
The NPI number is 1619502275.
What is the phone number of Nicholas Pedersen?
The phone number listed for the practice location is (715) 822-7500.
Where is Nicholas Pedersen located?
1705 16TH Ave, Cumberland, WI 54829-8601.
What is the taxonomy code for Nicholas Pedersen?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Cumberland
- Nicole Marie Huber, PA-C1705 16TH Ave