NOVANT HEALTH PENDER MEDICAL CENTER
NPI 1295703130
General Acute Care Hospital - Critical Access in Burgaw, NC
About Novant Health Pender Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT HEALTH PENDER MEDICAL CENTER (NPI 1295703130) is a healthcare organization registered as a critical access in Burgaw, North Carolina and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Ruth Ann Glaser, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Novant Health Pender Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
157Medicare enrollment records show 157 clinicians reassign Medicare billing to Novant Health Pender Medical Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 157Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D0943506
Novant Health Pender Medical Center - Nursing Services · Burgaw, NCCertificate of Accreditation 34D0018745
Novant Health Pender Medical Center · Burgaw, NCFrequently 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 Pender Memorial Hospital, Incorporated's NPI number?
The NPI number for Pender Memorial Hospital, Incorporated is 1295703130. It was assigned to this organization in the NPPES registry on March 8, 2006. The provider is doing business as Novant Health Pender Medical Center.
Where is Pender Memorial Hospital, Incorporated located?
Pender Memorial Hospital, Incorporated is located at 507 E Fremont St, Burgaw, NC 28425. The listed phone number is (910) 259-5451.
What is Pender Memorial Hospital, Incorporated's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Pender Memorial Hospital, Incorporated enrolled in Medicare?
Yes. Pender Memorial Hospital, Incorporated is registered in the Medicare PECOS enrollment system.
When is Pender Memorial Hospital, Incorporated's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (North Carolina, Critical Access Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pender Memorial Hospital, Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 7 Medicare specialties reassign their Medicare billing to Pender Memorial Hospital, Incorporated. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (120), Cardiovascular Disease (Cardiology) (26) and Interventional Cardiology (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pender Memorial Hospital, Incorporated hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pender Memorial Hospital, Incorporated accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Pender Memorial Hospital, Incorporated 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 Pender Memorial Hospital, Incorporated was last updated on October 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.
# Novant Health Pender Medical Center · NPI 1295703130
Critical Access organization in Burgaw, North Carolina. Organization record, active in the CMS NPPES registry since March 8, 2006.
## Identity
- **NPI:** 1295703130 (Entity type: Organization)
- **Enumerated:** March 8, 2006
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Pender Memorial Hospital, Incorporated
- **Organization subpart:** No
- **Authorized official:** Ruth Glaser, PRESIDENT
## Practice location
- **Address:** 507 E FREMONT ST, Burgaw, NC 28425-5131
- **Phone:** (910) 259-5451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, North Carolina, Critical Access Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 157 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (120), Cardiovascular Disease (Cardiology) (26), Interventional Cardiology (4); [full list](https://npiprofile.com/npi/1295703130/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2024
- **Other identifiers:** Other 00420 (NC); Other 00420 (NC); Medicaid 3401307 (NC)
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1295703130) · Data from the CMS NPPES public registry.