KAY ALINE LY PENDLETON NP
NPI 1083893655
Nurse Practitioner - Pediatrics in Dallas, TX

Active since October 30, 2007PECOS Enrolled
74.59/100
CMS Quality Rating
1935 MEDICAL DISTRICT DR, PEDIATRIC SURGERY DEPARTMENT, DALLAS, TX 75235(214) 456-6040 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kay Aline Ly Pendleton Np NPPES

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

KAY ALINE LY PENDLETON NP (NPI 1083893655) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (688052) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083893655
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAY ALINE LY PENDLETONCredential: NP
Location Address1935 MEDICAL DISTRICT DR, PEDIATRIC SURGERY DEPARTMENTDallas, TX 75235-7701
Mailing Address1935 Medical District Dr, Pediatric Surgery DepartmentDallas, TX 75235-7701 · (214) 456-6040
Sole ProprietorNo
Enumeration DateOctober 30, 2007
Last NPPES UpdateOctober 16, 2008
NPI 1083893655 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 · 688052
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Other Identifiers 2

Medicare PIN8K0958TX
Medicaid190192801TX

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)

Kay Aline Ly Pendleton Np 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 75235 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.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Kay Pendleton's NPI number?

The NPI number for Kay Pendleton is 1083893655. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Kay Pendleton located?

Kay Pendleton practices at 1935 Medical District Dr Pediatric Surgery Department, Dallas, TX 75235. The listed phone number is (214) 456-6040.

What is Kay Pendleton's specialty?

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

Is Kay Pendleton enrolled in Medicare?

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

What insurance does Kay Pendleton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kay 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 Kay Pendleton was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.