Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jasen Thomas Pedersen, DPM

Foot & Ankle Surgery Podiatrist in Crestwood, KY · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114182326

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Registry record

Entity type Individual (Type 1)

Name Dr. Jasen Thomas Pedersen

Credential DPM

Sex Male

Practice address Crestwood, KY, 40014

Phone (502) 276-9999

Fax (502) 276-9999

Enumeration date Jul 28, 2008

Last updated in NPPES Apr 27, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 243971 (KY) Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 243971 (KY) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier	Type	State	Issuer
7100170810	Medicaid	KY	-
000000866560	Other	KY	ANTHEM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jasen Pedersen?

Jasen Pedersen is registered in NPPES with the primary taxonomy of Foot & Ankle Surgery Podiatrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Bryan Blair Ophthalmology Physician · Crestwood, KY NPI 1417945478 John Distler Ophthalmology Physician · Crestwood, KY NPI 1326036385 Anne Huntington Ophthalmology Physician · Crestwood, KY NPI 1841289220 Distler, Huntington & Blair Psc Ophthalmology Physician · Crestwood, KY NPI 1972652998 Distler, Huntington & Blair, Psc Ophthalmology Physician · Crestwood, KY NPI 1093034605 Oldham County Foot & Ankle Pllc Foot & Ankle Surgery Podiatrist · Crestwood, KY NPI 1376969105 Andrew Steele Optometrist · Crestwood, KY NPI 1942685169

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-27.