ALICIA PENDERGRASS FNP
NPI 1063883767
Nurse Practitioner - Family in Irmo, SC
About Alicia Pendergrass Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA PENDERGRASS FNP (NPI 1063883767) is an individual family provider in Irmo, South Carolina, licensed in South Carolina (19686) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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 and accepts Medicare assignment
Alicia Pendergrass Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRMO, SC 29063
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 Alicia Pendergrass's NPI number?
The NPI number for Alicia Pendergrass is 1063883767. It was assigned to this individual provider in the NPPES registry on October 7, 2015.
Where is Alicia Pendergrass located?
Alicia Pendergrass practices at 1 Wellness Blvd Ste 203, Irmo, SC 29063. The listed phone number is (803) 749-9920.
What is Alicia Pendergrass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Pendergrass enrolled in Medicare?
Yes. Alicia Pendergrass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Alicia Pendergrass accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Alicia 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 Alicia Pendergrass was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
