MERRIE G PENDERGRASS SLP
NPI 1063435451
Speech-Language Pathologist in Shreveport, LA
About Merrie G Pendergrass Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERRIE G PENDERGRASS SLP (NPI 1063435451) is an individual speech-language pathologist provider in Shreveport, Louisiana and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Merrie G Pendergrass Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Merrie Pendergrass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Merrie Pendergrass's NPI number?
The NPI number for Merrie Pendergrass is 1063435451. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Merrie Pendergrass located?
Merrie Pendergrass practices at 3730 Blair Dr Lsuhsc-School Of Allied Health Professionals, Shreveport, LA 71103. The listed phone number is (318) 632-2030.
What is Merrie Pendergrass's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Merrie Pendergrass enrolled in Medicare?
Yes. Merrie Pendergrass is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Merrie Pendergrass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Merrie Pendergrass reassigns Medicare benefits to Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Merrie Pendergrass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Merrie Pendergrass accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Merrie Pendergrass 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 Merrie Pendergrass was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Merrie G Pendergrass, SLP · NPI 1063435451
Speech-Language Pathologist provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1063435451 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3730 BLAIR DR, LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS, Shreveport, LA 71103-4602
- **Phone:** (318) 632-2030 · **Fax:** (318) 675-5666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 196550 (LA); Medicaid 1174173 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1063435451) · Data from the CMS NPPES public registry.