1. Home
  2. Directory
  3. Georgia
  4. Austell
  5. Nurse Practitioner
  6. NPI Profile

MRS. INGRID PRADERE FNP
NPI 1104546597
Nurse Practitioner - Family in Austell, GA

Active since August 29, 2022PECOS Enrolled
2130 ANDERSON MILL RD, AUSTELL, GA 30106(678) 687-1757 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2025, Aug 29, 2022 (2 updates tracked since 2022).

About Mrs. Ingrid Pradere Fnp NPPES

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

MRS. INGRID PRADERE FNP (NPI 1104546597) is an individual family provider in Austell, Georgia, licensed in Georgia (RN260293) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104546597
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. INGRID PRADERECredential: FNP
Location Address2130 ANDERSON MILL RDAustell, GA 30106-1806
Mailing Address2130 Anderson Mill RdAustell, GA 30106-1806 · (678) 687-1757
Phone(678) 687-1757
Sole ProprietorYes
Enumeration DateAugust 29, 2022
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1104546597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN260293
2130 ANDERSON MILL RD, Austell, GA 30106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ingrid Pradere Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ingrid Pradere reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
0.7 mi
Hospice and Palliative Medicine
4040 HOSPITAL WEST DR
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1942593959 (770) 732-6798
Signify Health Medical Associates, PLLC
709 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 11

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

MISS SOPHIA ANTONIA BLUE LPTA
Physical Therapy Assistant
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
MALIA R. JACKSON OTD, OTR/L
Occupational Therapist
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
ORONDE PARKER
Occupational Therapy Assistant
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
MICHELLE ARRINGTON-MYERS
Occupational Therapy Assistant
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
MARION GOMEYAC
Physical Therapist
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
JOYCE NIBATEN BALAWON
Physical Therapist
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
MELCHOR CAPUYAN GOMEYAC
Occupational Therapist
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813
ROXANNE ALECIA GEORGE
Physical Therapist
2130 ANDERSON MILL RD
AUSTELL, GA 30106
Cobb County (770) 941-8813

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 Ingrid Pradere's NPI number?

The NPI number for Ingrid Pradere is 1104546597. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Ingrid Pradere located?

Ingrid Pradere practices at 2130 Anderson Mill Rd, Austell, GA 30106. The listed phone number is (678) 687-1757.

What is Ingrid Pradere's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ingrid Pradere enrolled in Medicare?

Yes. Ingrid Pradere is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ingrid Pradere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ingrid Pradere reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Austell, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Ingrid Pradere's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ingrid Pradere accept?

Health plans from Alliant Health Plans, Inc. and CareSource (Common Ground Healthcare) list Ingrid Pradere 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 Ingrid Pradere was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.