TIFFANY T PENDERGRASS FNP
NPI 1194418939
Nurse Practitioner in Lenoir City, TN

Q: What is Tiffany Pendergrass's NPI number?

The NPI number for Tiffany Pendergrass is 1194418939. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Q: What is Tiffany Pendergrass's specialty?

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

Active since May 29, 2023PECOS Enrolled

689 MEDICAL PARK DR STE 201, LENOIR CITY, TN 37772(865) 988-6575(865) 988-6066 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tiffany T Pendergrass Fnp NPPES

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

TIFFANY T PENDERGRASS FNP (NPI 1194418939) is an individual nurse practitioner in Lenoir City, Tennessee, licensed in Tennessee (32294) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194418939

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTIFFANY T PENDERGRASSCredential: FNP

Location Address689 MEDICAL PARK DR STE 201Lenoir City, TN 37772-5797

Mailing Address689 Medical Park Dr Ste 201Lenoir City, TN 37772-5797 · (865) 988-6575 · Fax (865) 988-6066

Phone(865) 988-6575

Fax(865) 988-6066

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 29, 2023

NPPES CertifiedMay 29, 2023

✔ NPI 1194418939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 32294

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.

689 MEDICAL PARK DR STE 201, Lenoir City, TN 37772

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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)

Tiffany T Pendergrass Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143676452

PECOS Enrollment IDI20231023003038

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.

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.

207 services171 patients

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.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37772 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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

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

MARILYN LOUISE JUSTICE FNP

Nurse Practitioner (Family)

689 MEDICAL PARK DR STE 201
LENOIR CITY, TN 37772

Loudon County (865) 988-6575

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 Tiffany Pendergrass's NPI number?

The NPI number for Tiffany Pendergrass is 1194418939. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Tiffany Pendergrass located?

Tiffany Pendergrass practices at 689 Medical Park Dr Ste 201, Lenoir City, TN 37772. The listed phone number is (865) 988-6575.

What is Tiffany Pendergrass's specialty?

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

Is Tiffany Pendergrass enrolled in Medicare?

Yes. Tiffany Pendergrass is registered in the Medicare PECOS enrollment system.

What insurance does Tiffany Pendergrass accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Tiffany Pendergrass 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 Tiffany Pendergrass was last updated on May 29, 2023. 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.