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

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: August 02, 2026.

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

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
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

Secondary Practice Location 1

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

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

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.

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

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.

Specialist/Technologist (Athletic Trainer)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Orthopaedic Surgery
1325 E FORTIFICATION ST
JACKSON, MS 39202
Orthopaedic Surgery
1325 E FORTIFICATION ST
JACKSON, MS 39202
Physician Assistant (Surgical)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Registered Nurse (Registered Nurse First Assistant)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Nurse Practitioner (Family)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Orthopaedic Surgery
1325 E FORTIFICATION ST
JACKSON, MS 39202

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 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.

Where is Brianna Pendergrass located?

Brianna Pendergrass practices at 1325 E Fortification St, Jackson, MS 39202. The listed phone number is (601) 354-4488.

What is Brianna Pendergrass's specialty?

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

Is Brianna Pendergrass enrolled in Medicare?

Yes. Brianna Pendergrass 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 Brianna Pendergrass accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Brianna Pendergrass 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 Brianna Pendergrass affiliated with any hospitals?

According to CMS data, Brianna Pendergrass is affiliated with University Of Mississippi Med Center.

When was this NPI record last updated?

The NPPES record for Brianna Pendergrass was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.