KNETRA PENDLETON APRN
NPI 1013382126
Nurse Practitioner - Pediatrics in Jacksonville, FL

Active since December 01, 2015PECOS Enrolled
120 KING ST, JACKSONVILLE, FL 32204(904) 760-4904 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Jun 21, 2023, Jun 15, 2023 and 1 more (4 updates tracked since 2015).

About Knetra Pendleton Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNETRA PENDLETON APRN (NPI 1013382126) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ARNP9272743) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013382126
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKNETRA PENDLETONCredential: APRN
Location Address120 KING STJacksonville, FL 32204-2410
Mailing Address231 Devoe StJacksonville, FL 32220-2085 · (904) 476-6016
Sole ProprietorNo
Enumeration DateDecember 1, 2015
Last NPPES UpdateJuly 21, 20234 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1013382126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in FL · ARNP9272743
120 KING ST, Jacksonville, FL 32204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Knetra Pendleton Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
120 KING ST
JACKSONVILLE, FL 32204
Clinic/Center (Federally Qualified Health Center (FQHC))
120 KING ST, MC 75
JACKSONVILLE, FL 32204
Nurse Practitioner (Family)
120 KING ST
JACKSONVILLE, FL 32204
Dentist
120 KING ST
JACKSONVILLE, FL 32204
Pediatrics
120 KING ST
JACKSONVILLE, FL 32204
Nurse Practitioner (Pediatrics)
120 KING ST
JACKSONVILLE, FL 32204
Nurse Practitioner (Pediatrics)
120 KING ST
JACKSONVILLE, FL 32204
Dietitian, Registered
120 KING ST
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knetra Pendleton's NPI number?

The NPI number for Knetra Pendleton is 1013382126. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Knetra Pendleton located?

Knetra Pendleton practices at 120 King St, Jacksonville, FL 32204. The listed phone number is (904) 760-4904.

What is Knetra Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Knetra Pendleton enrolled in Medicare?

Yes. Knetra Pendleton is registered in the Medicare PECOS enrollment system.

What insurance does Knetra Pendleton accept?

Health plans from Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Knetra Pendleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Knetra Pendleton was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.