1. Home
  2. Directory
  3. Virginia
  4. Lexington
  5. Nurse Practitioner
  6. NPI Profile

SUZETTE MARSHALYN PRENDERGAST NURSE PRACTITIONER
NPI 1255706065
Nurse Practitioner - Gerontology in Lexington, VA

Active since December 04, 2015PECOS EnrolledAccepts Medicare Assignment
1 HEALTH CIR, LEXINGTON, VA 24450(540) 458-3300(540) 458-3456 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Nov 12, 2025, Oct 28, 2020 and 2 more (5 updates tracked since 2015).

About Suzette Marshalyn Prendergast Nurse Practitioner NPPES

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

SUZETTE MARSHALYN PRENDERGAST NURSE PRACTITIONER (NPI 1255706065) is an individual gerontology provider in Lexington, Virginia, licensed in Virginia (0024188130) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains a secondary practice location in Delray Beach.

NPPES Registry Identity

NPI1255706065
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUZETTE MARSHALYN PRENDERGASTCredential: NURSE PRACTITIONER
Location Address1 HEALTH CIRLexington, VA 24450-2448
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5452
Phone(540) 458-3300
Fax(540) 458-3456
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 4, 2015
Last NPPES UpdateDecember 16, 20255 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1255706065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in VA · 0024188130✔ Licensed in FL · APRN9180833
1 HEALTH CIR, Lexington, VA 24450
Open in Google Maps ↗

Other Names 1

Former Name (1)Suzette Prendergast

Secondary Practice Location 1

Location 15352 Linton BlvdDelray Beach, FL 33484-6514 · Phone (561) 498-4440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Oscar Health, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suzette Marshalyn Prendergast Nurse Practitioner 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 ID7113222605
PECOS Enrollment IDI20160222000854
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

9

Medicare enrollment records show Suzette Prendergast reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaufort County Memorial Hospital
352 mi
Rural Health
1000 PINE STREET WEST
Varnville, SC 29944
  • Reassigned Medicare billing, South Carolina enrollment
  • 212 clinicians in this Medicare group
NPI 1033175344 (803) 943-5228
Mile Bluff Medical Center Inc
676 mi
Rural Health
28 COMMERCE ST
Wisconsin Dells, WI 53965
  • Reassigned Medicare billing, Wisconsin enrollment
  • 189 clinicians in this Medicare group
NPI 1487734380 (608) 254-5888
Jupiter Medical Center Physicians Group Inc
732 mi
Urgent Care
2628 SE FEDERAL HWY
Stuart, FL 34994
  • Reassigned Medicare billing, Florida enrollment
  • 247 clinicians in this Medicare group
NPI 1306351481 (561) 263-7010
Ehs At Lakeside LLC
765 mi
Hospitalist
39200 HOOKER HWY
Belle Glade, FL 33430
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1275018673 (561) 996-6571
Accountable Care Hospitalist Group
768 mi
Internal Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 265 clinicians in this Medicare group
NPI 1659640282 (561) 766-1300
Florida Hospital Medicine Services, LLC.
769 mi
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
NPI 1508873183 (561) 488-8000
Hospitalist Group Of The Palm Beaches PA
771 mi
Internal Medicine
5301 S CONGRESS AVE
Atlantis, FL 33462
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
NPI 1801249990 (561) 965-7300
Northeast Florida Hospitalists Inc
782 mi
Hospitalist
5352 LINTON BLVD
Delray Beach, FL 33484
  • Reassigned Medicare billing, Florida enrollment
  • 140 clinicians in this Medicare group
NPI 1013036219 (561) 498-4440
Vitas Solutions Inc
815 mi
Hospice and Palliative Medicine
3170 EXECUTIVE WAY
Miramar, FL 33025
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
NPI 1861666497 (877) 868-4827

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

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
466 services437 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services54 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Home Health
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3111
SIAN ELLEN LEWIS-BEVAN
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Hospitalist
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. LYDIA JOY KUHN M.D.
Internal Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. WILLIAM LYLE MCCLUNG MD
Family Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
BRYAN JAMES CAREY PA-C
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. CAROL A BERNIER D.O.
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
MR. JARED SCOTT CAMPBELL P.A.-C
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3345

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 Suzette Prendergast's NPI number?

The NPI number for Suzette Prendergast is 1255706065. It was assigned to this individual provider in the NPPES registry on December 4, 2015.

Where is Suzette Prendergast located?

Suzette Prendergast practices at 1 Health Cir, Lexington, VA 24450. The listed phone number is (540) 458-3300.

What is Suzette Prendergast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Suzette Prendergast enrolled in Medicare?

Yes. Suzette Prendergast 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.

Which organizations bill Medicare for Suzette Prendergast's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzette Prendergast reassigns Medicare benefits to 9 organizations: Beaufort County Memorial Hospital (Varnville, SC), Mile Bluff Medical Center Inc (Wisconsin Dells, WI), Jupiter Medical Center Physicians Group Inc (Stuart, FL), Ehs At Lakeside LLC (Belle Glade, FL), Accountable Care Hospitalist Group (Wellington, FL) and 4 more organizations, listed in the Medicare section above. 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 Suzette Prendergast's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzette Prendergast accept?

Health plans from Group Health Cooperative-SCW, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Suzette Prendergast 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 Suzette Prendergast affiliated with any hospitals?

According to CMS data, Suzette Prendergast is affiliated with Hca Florida Jfk Hospital, Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Suzette Prendergast was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.