Individual provider Active NPI

Melanie Methvin Pendergrass, ARNP

  • Adult Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1336508282
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9392245 Issued in FL
Practice address
600 E Government St
Pensacola, FL 32502-6136
Phone
(850) 934-7545
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9392245 FL Primary

Addresses

Primary practice location

600 E Government St
Pensacola, FL 32502-6136

Mailing address

600 E Government St
Pensacola, FL 32502-6136
Phone (850) 934-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000511 FL Practitioner - Nurse Practitioner 7113223553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuromicrospine PLLCGroup PAC ID 2365686144, 6 clinicians

Practice addresses (Care Compare)

201 S a St
Pensacola, FL 32502-5554
Phone (850) 934-7545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromicrospine PLLC CurrentSince Mar 1, 2016 Accepting new patients

Locations

13305 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 232-2242

201 S A St
Pensacola, FL 32502
Phone (850) 460-8727

9400 University Pkwy
Ste 309
Pensacola, FL 32514
Phone (850) 479-3320

600 E Government St
Pensacola, FL 32502
Phone (850) 434-5033

Interoperability endpoints

  • Direct secure messaging: melaniependergrass@nmis.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1336508282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026136",
            "telephone_number": "850-934-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026136",
            "telephone_number": "850-934-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "MELANIE",
        "middle_name": "METHVIN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9392245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.