SHELLY PENDERGRASS PA-C
NPI 1417338724
Physician Assistant - Medical in Donaldsonville, LA

Q: What is Shelly Pendergrass's NPI number?

The NPI number for Shelly Pendergrass is 1417338724. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Q: What is Shelly Pendergrass's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since June 11, 2015PECOS Enrolled

217 RAILROAD AVE, DONALDSONVILLE, LA 70346(225) 473-3931 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelly Pendergrass Pa-c NPPES

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

SHELLY PENDERGRASS PA-C (NPI 1417338724) is an individual medical provider in Donaldsonville, Louisiana, licensed in Louisiana (200820) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417338724

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSHELLY PENDERGRASSCredential: PA-C

Location Address217 RAILROAD AVEDonaldsonville, LA 70346-2527

Mailing Address17075 Fox Ridge DrPrairieville, LA 70769-4834 · (225) 235-6696

Phone(225) 473-3931

Sole ProprietorYes

Enumeration DateJune 11, 2015

Last NPPES UpdateJune 12, 2015

✔ NPI 1417338724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in LA · 200820

217 RAILROAD AVE, Donaldsonville, LA 70346

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Pendergrass Pa-c 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.

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

195 services21 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

33 services24 patients

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.

30 services27 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

15 services14 patients

Other Providers at the Same Location NPPES 13

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

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