Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jim P Pederson, PA

Individual provider Medical Physician Assistant · NPI 1902829773

Jim P Pederson, PA is a Medical Physician Assistant in Rawlins, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

606 23rd St
Rawlins, WY 82301-5127 Not confirmed with CMS for 19 years — call before visiting
Phone: (307) 324-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 083 (WY)

Record details

NPI number1902829773
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 8, 2007

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