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AMANDA NICOLE PENDRAGON APRN
NPI 1336864198
Nurse Practitioner - Family in Elizabethtown, KY

Active since October 04, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
157 TOWNE DR STE 103, ELIZABETHTOWN, KY 42701(270) 765-5926(270) 763-0051 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2024, Oct 4, 2022 (2 updates tracked since 2022).

About Amanda Nicole Pendragon Aprn NPPES

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

AMANDA NICOLE PENDRAGON APRN (NPI 1336864198) is an individual family provider in Elizabethtown, Kentucky, licensed in Kentucky (3018433) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336864198
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA NICOLE PENDRAGONCredential: APRN
Location Address157 TOWNE DR STE 103Elizabethtown, KY 42701-8460
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(270) 765-5926
Fax(270) 763-0051
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 4, 2022
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1336864198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3018433
157 TOWNE DR STE 103, Elizabethtown, KY 42701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Amanda Nicole Pendragon 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 ID7113393034
PECOS Enrollment IDI20221018002523
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

2

Medicare enrollment records show Amanda Pendragon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates
Same address
Radiology
157 TOWNE DR STE 101
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1669245510 (270) 740-5201
Kiosk Medicine Kentucky LLC
36 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555

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 4

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.
122 services88 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.
31 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services23 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.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MR. BRANDON CHASE WAMPLER PA-C
Physician Assistant
157 TOWNE DR STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-5926
CAITLYN POPHAM APRN
Nurse Practitioner (Family)
157 TOWNE DR STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-5926

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 Amanda Pendragon's NPI number?

The NPI number for Amanda Pendragon is 1336864198. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Amanda Pendragon located?

Amanda Pendragon practices at 157 Towne Dr Ste 103, Elizabethtown, KY 42701. The listed phone number is (270) 765-5926.

What is Amanda Pendragon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Pendragon enrolled in Medicare?

Yes. Amanda Pendragon 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 Amanda Pendragon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Pendragon reassigns Medicare benefits to 2 organizations: Community Medical Associates (Elizabethtown, KY) and Kiosk Medicine Kentucky LLC (Louisville, KY). 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 Amanda Pendragon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Pendragon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Amanda Pendragon 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 Amanda Pendragon affiliated with any hospitals?

According to CMS data, Amanda Pendragon is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Amanda Pendragon was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.