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ELIZABETH PEMBERTON AGNP
NPI 1295281236
Nurse Practitioner - Gerontology in Grover, MO

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
306 HARBOUR POINTE DR, GROVER, MO 63040(314) 308-5424 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Pemberton Agnp NPPES

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

ELIZABETH PEMBERTON AGNP (NPI 1295281236) is an individual gerontology provider in Grover, Missouri, licensed in Missouri (2016012215) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295281236
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELIZABETH PEMBERTONCredential: AGNP
Location Address306 HARBOUR POINTE DRGrover, MO 63040-1937
Mailing Address306 Harbour Pointe DrGrover, MO 63040-1937 · (314) 308-5424
Phone(314) 308-5424
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 30, 2016
✔ NPI 1295281236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2016012215
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2016012215 (MO)
306 HARBOUR POINTE DR, Grover, MO 63040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Elizabeth Pemberton Agnp 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 ID2860807427
PECOS Enrollment IDI20210212002275, I20250729003345, I20260608001684
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 63040 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$36.91 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers13 claims13 services$34.83 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$15.17 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Elizabeth Pemberton's NPI number?

The NPI number for Elizabeth Pemberton is 1295281236. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Elizabeth Pemberton located?

Elizabeth Pemberton practices at 306 Harbour Pointe Dr, Grover, MO 63040. The listed phone number is (314) 308-5424.

What is Elizabeth Pemberton's specialty?

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

Is Elizabeth Pemberton enrolled in Medicare?

Yes. Elizabeth Pemberton 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 Elizabeth Pemberton accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Pemberton 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 Elizabeth Pemberton was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.