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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KJERSTAN MONTGOMERIE MAREE PENDLETON
NPI 1396571469
Social Worker - Clinical in Shelbyville, IN

Active since September 13, 2024PECOS Enrolled
30 W RAMPART RD, SUITE #160, SHELBYVILLE, IN 46176(317) 392-2971 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Sep 13, 2024 (2 updates tracked since 2024).

About Kjerstan Montgomerie Maree Pendleton NPPES

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

KJERSTAN MONTGOMERIE MAREE PENDLETON (NPI 1396571469) is an individual clinical provider in Shelbyville, Indiana, licensed in Indiana (34011430A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396571469
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKJERSTAN MONTGOMERIE MAREE PENDLETON
Location Address30 W RAMPART RD, SUITE #160Shelbyville, IN 46176
Mailing Address30 W Rampart St Ste 160Shelbyville, IN 46176-8845
Phone(317) 392-2971
Sole ProprietorNo
Enumeration DateSeptember 13, 2024
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1396571469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34011430A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
30 W RAMPART RD, Shelbyville, IN 46176
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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 (PECOS)

Kjerstan Montgomerie Maree Pendleton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kjerstan Pendleton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Major Multispecialty Associates
0.9 mi
Internal Medicine
2451 INTELLIPLEX DR
Shelbyville, IN 46176
  • Reassigned Medicare billing, Indiana enrollment
  • 73 clinicians in this Medicare group
NPI 1437398492 (317) 392-3211
Major Hospital
1.0 mi
General Acute Care Hospital
2451 INTELLIPLEX DR
Shelbyville, IN 46176
  • Reassigned Medicare billing, Indiana enrollment
  • 121 clinicians in this Medicare group
NPI 1174555692 (317) 392-3211

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kjerstan Pendleton's NPI number?

The NPI number for Kjerstan Pendleton is 1396571469. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Kjerstan Pendleton located?

Kjerstan Pendleton practices at 30 W Rampart Rd Suite #160, Shelbyville, IN 46176. The listed phone number is (317) 392-2971.

What is Kjerstan Pendleton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kjerstan Pendleton enrolled in Medicare?

Yes. Kjerstan Pendleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kjerstan Pendleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kjerstan Pendleton reassigns Medicare benefits to 2 organizations: Major Multispecialty Associates (Shelbyville, IN) and Major Hospital (Shelbyville, IN). 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 Kjerstan Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kjerstan Pendleton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kjerstan Pendleton 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 Kjerstan Pendleton was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.