MISS ANDREA PENDLETON RN, MS, CPNP
NPI 1073884888
Nurse Practitioner - Pediatrics in Dallas, TX

Q: What is Andrea Pendleton's NPI number?

The NPI number for Andrea Pendleton is 1073884888. It was assigned to this individual provider in the NPPES registry on January 25, 2012. The provider is also known as Andrea Stick Rn, Ms, Cpnp.

Q: What is Andrea Pendleton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Pendleton was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 25, 2012PECOS Enrolled

2222 WELBORN ST, DALLAS, TX 75219(214) 559-5000(214) 443-7309 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Miss Andrea Pendleton Rn, Ms, Cpnp NPPES

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

MISS ANDREA PENDLETON RN, MS, CPNP (NPI 1073884888) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (566807) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073884888

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMISS ANDREA PENDLETONCredential: RN, MS, CPNP

Location Address2222 WELBORN STDallas, TX 75219-3924

Mailing Address2222 Welborn StDallas, TX 75219-3924 · (214) 559-5000 · Fax (214) 443-7309

Phone(214) 559-5000

Fax(214) 443-7309

Sole ProprietorNo

Enumeration DateJanuary 25, 2012

Last NPPES UpdateJanuary 30, 2019

✔ NPI 1073884888 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 TX · 566807

2222 WELBORN ST, Dallas, TX 75219

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Other Names 1

Former Name (1)Andrea Stick Rn, Ms, Cpnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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)

Miss Andrea Pendleton Rn, Ms, Cpnp 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 75219 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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