KATIE PENDLETON FNP-C
NPI 1437042157
Nurse Practitioner - Family in Flowood, MS

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment
120 STONE CREEK BLVD, FLOWOOD, MS 39232(601) 420-2040 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About Katie Pendleton Fnp-c NPPES

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

KATIE PENDLETON FNP-C (NPI 1437042157) is an individual family provider in Flowood, Mississippi, licensed in Mississippi (907471) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Mississippi School Of Medicine (2025).

NPPES Registry Identity

NPI1437042157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIE PENDLETONCredential: FNP-C
Location Address120 STONE CREEK BLVDFlowood, MS 39232-8205
Mailing AddressPo Box 649113Dallas, TX 75264-9113 · (855) 343-5763 · Fax (855) 343-5763
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2025
Enumeration DateJune 2, 2025
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1437042157 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 MS · 907471
120 STONE CREEK BLVD, Flowood, MS 39232

Secondary Practice Locations 4

Location 1220 Highway 12 WKosciusko, MS 39090-3208 · Phone (662) 289-4311 · Fax (662) 290-3255
Location 227190 Highway 28Hazlehurst, MS 39083-2224 · Phone (601) 574-7277 · Fax (601) 420-2356
Location 37100 U S Highway 98 Ste 210Hattiesburg, MS 39402-8557 · Phone (601) 545-7021 · Fax (601) 545-6978
Location 4114 Byram Business Center DrByram, MS 39272-9636 · Phone (601) 883-6304 · Fax (601) 883-6325

Accepted 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

Katie Pendleton Fnp-c 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 ID8224543798
PECOS Enrollment IDI20250714003106
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 39232 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
120 STONE CREEK BLVD
FLOWOOD, MS 39232
Nurse Practitioner (Family)
120 STONE CREEK BLVD
FLOWOOD, MS 39232
Radiology (Diagnostic Radiology)
120 STONE CREEK BLVD, SUITE 900
FLOWOOD, MS 39232
Nurse Practitioner (Family)
120 STONE CREEK BLVD
FLOWOOD, MS 39232
Anesthesiology (Pain Medicine)
120 STONE CREEK BLVD, SUITE 500
FLOWOOD, MS 39232
Durable Medical Equipment & Medical Supplies
120 STONE CREEK BLVD, SUITE 500
FLOWOOD, MS 39232
Clinic/Center (Pain)
120 STONE CREEK BLVD
FLOWOOD, MS 39232
Specialist
120 STONE CREEK BLVD, SUITE 500
FLOWOOD, MS 39232

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 Katie Pendleton's NPI number?

The NPI number for Katie Pendleton is 1437042157. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Katie Pendleton located?

Katie Pendleton practices at 120 Stone Creek Blvd, Flowood, MS 39232. The listed phone number is (601) 420-2040.

What is Katie Pendleton's specialty?

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

Is Katie Pendleton enrolled in Medicare?

Yes. Katie Pendleton 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 Katie Pendleton accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Katie 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 Katie Pendleton was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.