BRIANNA MICHELLE PENDERGRASS FNP-BC
NPI 1518522283
Nurse Practitioner - Family in Jackson, MS

Q: What is Brianna Pendergrass's NPI number?

The NPI number for Brianna Pendergrass is 1518522283. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Brianna Pendergrass's specialty?

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

Active since May 07, 2019PECOS EnrolledAccepts Medicare Assignment

1325 E FORTIFICATION ST, JACKSON, MS 39202(601) 354-4488(601) 351-5980 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2021, Sep 25, 2020, May 7, 2019 (3 updates tracked since 2019).

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About Brianna Michelle Pendergrass Fnp-bc NPPES

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

BRIANNA MICHELLE PENDERGRASS FNP-BC (NPI 1518522283) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (904177) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and maintains a secondary practice location in Flowood.

NPPES Registry Identity

NPI1518522283

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRIANNA MICHELLE PENDERGRASSCredential: FNP-BC

Location Address1325 E FORTIFICATION STJackson, MS 39202-2442

Mailing Address110 Villa WayClinton, MS 39056-6106 · (601) 720-7166

Phone(601) 354-4488

Fax(601) 351-5980

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 7, 2019

Last NPPES UpdateDecember 29, 20233 updates tracked since enumeration

NPPES CertifiedDecember 29, 2023

✔ NPI 1518522283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 904177

Also ListedFamily MedicineTaxonomy 207Q00000X · License 904177 (MS), 25671 (TN)

1325 E FORTIFICATION ST, Jackson, MS 39202

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Secondary Practice Location 1

Location 12605 Courthouse CirFlowood, MS 39232-9521 · Phone (601) 397-6147

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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

Brianna Michelle Pendergrass Fnp-bc 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 ID5496084113

PECOS Enrollment IDI20210512001005

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

Medicare enrollment records show Brianna Pendergrass reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mississippi Sports Medicine & Orthopaedic Center

Same address

Orthopaedic Surgery

1325 E FORTIFICATION ST
Jackson, MS 39202

Reassigned Medicare billing, Mississippi enrollment
107 clinicians in this Medicare group

NPI 1568415560 (601) 949-9106

State Of Mississippi - University Of Mississippi Medical Center

1.2 mi

General Acute Care Hospital

2500 N STATE ST
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
1,932 clinicians in this Medicare group

NPI 1154317527 (601) 984-1000

Maxem Health Urgent Care Flowood

3.3 mi

Urgent Care

2605 COURTHOUSE CIRCLE
Flowood, MS 39232

Reassigned Medicare billing, Mississippi enrollment
50 clinicians in this Medicare group

NPI 1174070650 (228) 223-1927

Capital Orthopaedic Clinic, PLLC

4.1 mi

Orthopaedic Surgery

104 BURNEY DR
Flowood, MS 39232

Reassigned Medicare billing, Mississippi enrollment
54 clinicians in this Medicare group

NPI 1770687881 (601) 987-8200

Wound Management Specialists, LLC

4.7 mi

Nurse Practitioner

120 STONE CREEK BLVD STE 300
Flowood, MS 39232

Reassigned Medicare billing, Mississippi enrollment
117 clinicians in this Medicare group

NPI 1972150084 (769) 243-6141

Healthcare Plus Limited Liability Company

160 mi

Specialist

1108 BELMONT PL
Metairie, LA 70001

Reassigned Medicare billing, Mississippi enrollment
96 clinicians in this Medicare group

NPI 1063927465 (769) 243-6141

Fast Pace Mississippi, PLLC

181 mi

Rural Health

517 CITY AVE S
Ripley, MS 38663

Reassigned Medicare billing, Mississippi enrollment
463 clinicians in this Medicare group

NPI 1447769559 (662) 587-8206

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 20

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

653 services57 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.

293 services289 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

134 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

117 services117 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

105 services98 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

69 services69 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

63 services63 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

51 services50 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

46 services46 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

44 services44 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.

39 services39 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.

28 services28 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

22 services22 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

18 services15 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

18 services18 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

16 services16 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

14 services14 patients

Application of nonmoveable forearm to hand splint 29125

The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.

13 services13 patients

Cast supplies, short arm splint, adult (11 years +), fiberglass Q4022

A short arm splint, for adults and children aged 11+, is a support device made of fiberglass. It is applied to the lower part of the arm to immobilize it after an injury or surgery. It helps in healing by restricting movement and providing stability.

13 services13 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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 20

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

JOSH CAMPBELL HARDIN ATC/L

Specialist/Technologist (Athletic Trainer)