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MICHELLE LYNN PENDLETON APRN
NPI 1134596802
Nurse Practitioner in Yulee, FL

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
851042 US HIGHWAY 17, YULEE, FL 32097(904) 225-3824(904) 390-7440 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Apr 11, 2023, Dec 28, 2018 and 2 more (5 updates tracked since 2015).

About Michelle Lynn Pendleton Aprn NPPES

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

MICHELLE LYNN PENDLETON APRN (NPI 1134596802) is an individual nurse practitioner in Yulee, Florida, licensed in Florida (APRN9238670) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134596802
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE LYNN PENDLETONCredential: APRN
Location Address851042 US HIGHWAY 17Yulee, FL 32097-2845
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 225-3824
Fax(904) 390-7440
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 28, 2015
Last NPPES UpdateMay 7, 20245 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1134596802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in FL · APRN9238670✔ Licensed in GA · RN280179
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9238670 (FL)
851042 US HIGHWAY 17, Yulee, FL 32097
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Other Names 1

Former Name (1)Michelle Lynn Phillipe Arnp

Other Identifiers 1

Medicaid015603300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Michelle Lynn Pendleton Aprn 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 ID9638487333
PECOS Enrollment IDI20150929003431, I20181011001965
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services134 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services97 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
25 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32097 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims38 services$6.36 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers12 claims12 services$22.12 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$3.20 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$64.88 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$44.96 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$25.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

JIMMIE STONE PA-C
Physician Assistant (Medical)
851042 US HIGHWAY 17
YULEE, FL 32097
Nassau County (904) 633-0670
JOHN R PINKSTON MD
Internal Medicine
851042 US HIGHWAY 17
YULEE, FL 32097
Nassau County (904) 225-3824
DR. OBAIDULLAH AHMED MD
Family Medicine
851042 US HIGHWAY 17
YULEE, FL 32097
Nassau County (904) 225-3824
MRS. MEGAN LYNN DAY PA
Physician Assistant
851042 US HIGHWAY 17
YULEE, FL 32097
Nassau County (904) 633-0670
DR. JEREMY LATRON COLEMAN M.D.
Family Medicine
851042 US HIGHWAY 17
YULEE, FL 32097
Nassau County (904) 633-0670
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Family Medicine
851042 US HIGHWAY 17, UFJP YULEE FAMILY PRACTICE
YULEE, FL 32097
Nassau County (904) 633-0670
DR. JAMES WILLIAM PRICE M.D.
Family Medicine
851042 US HIGHWAY 17, UFJP YULEE FAMILY PRACTICE CENTER
YULEE, FL 32097
Nassau County (904) 633-0670
EVAN JAMES LEONARD P.A.-C
Physician Assistant (Medical)
851042 US HIGHWAY 17
YULEE, FL 32097
Nassau County (904) 633-0670

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 Michelle Pendleton's NPI number?

The NPI number for Michelle Pendleton is 1134596802. It was assigned to this individual provider in the NPPES registry on August 28, 2015. The provider is also known as Michelle Lynn Phillipe Arnp.

Where is Michelle Pendleton located?

Michelle Pendleton practices at 851042 Us Highway 17, Yulee, FL 32097. The listed phone number is (904) 225-3824.

What is Michelle Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Pendleton enrolled in Medicare?

Yes. Michelle Pendleton 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 Michelle Pendleton accept?

Health plans from AvMed list Michelle 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.

Is Michelle Pendleton affiliated with any hospitals?

According to CMS data, Michelle Pendleton is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center - Nassau and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Michelle Pendleton was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.