MELISSA B PENDER NP
NPI 1063989036
Nurse Practitioner - Acute Care in Jackson, MS

Active since October 29, 2018PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
1200 N STATE ST STE 270, JACKSON, MS 39202(601) 714-6470(601) 714-6471 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jul 16, 2021, Oct 29, 2018 (3 updates tracked since 2018).

About Melissa B Pender Np NPPES

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

MELISSA B PENDER NP (NPI 1063989036) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (902839) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063989036
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELISSA B PENDERCredential: NP
Location Address1200 N STATE ST STE 270Jackson, MS 39202-2027
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401
Fax(601) 714-6471
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2018
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1063989036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MS · 902839
1200 N STATE ST STE 270, Jackson, MS 39202

Other Identifiers 1

Medicaid01470542MS

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

Melissa B Pender Np 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.

PECOS PAC ID2264777887
PECOS Enrollment IDI20181228001806
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services60 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1200 N STATE ST STE 270
JACKSON, MS 39202
Internal Medicine (Gastroenterology)
1200 N STATE ST STE 270
JACKSON, MS 39202
Internal Medicine (Gastroenterology)
1200 N STATE ST STE 270
JACKSON, MS 39202
Internal Medicine (Gastroenterology)
1200 N STATE ST STE 270
JACKSON, MS 39202
Physician Assistant (Medical)
1200 N STATE ST STE 270
JACKSON, MS 39202
Internal Medicine (Gastroenterology)
1200 N STATE ST STE 270
JACKSON, MS 39202
Internal Medicine (Gastroenterology)
1200 N STATE ST STE 270
JACKSON, MS 39202
Nurse Practitioner (Family)
1200 N STATE ST STE 270
JACKSON, MS 39202

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 Melissa Pender's NPI number?

The NPI number for Melissa Pender is 1063989036. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Melissa Pender located?

Melissa Pender practices at 1200 N State St Ste 270, Jackson, MS 39202. The listed phone number is (601) 714-6470.

What is Melissa Pender's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melissa Pender enrolled in Medicare?

Yes. Melissa Pender 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 Melissa Pender accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Melissa Pender 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.

Is Melissa Pender affiliated with any hospitals?

According to CMS data, Melissa Pender is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Pender was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.