NPI age
4 years
Enumerated 2021-09-28
● Active
Type 1 · Individual
Jacob Daniel Pedersen, INDEPENDENT DUTY CO
Pedersen is 1 of 10 military health care provider providers in Corpus Christi and 1 of 70 in Texas.
Primary specialty
Military Health Care Provider
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 70 active military health care provider providers in Texas.
NPI age
4 years
↓ 11 yr below median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Practice location
249 Glasson
Corpus Christi, TX 784061817
Mailing address
1201 Minnesota Ave
Duluth, MN 558022424
Specialties
-
Military Health Care Provider PrimaryA Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.