PHILLIP E PENDLETON APRN
NPI 1528058898
Nurse Practitioner in Carmel, CA

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
275 THE CROSSROADS BLVD STE A, CARMEL, CA 93923(831) 718-9701(831) 886-1538 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2018, May 24, 2018 (2 updates tracked since 2018).

About Phillip E Pendleton Aprn NPPES

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

PHILLIP E PENDLETON APRN (NPI 1528058898) is an individual nurse practitioner in Carmel, California, licensed in California (14610) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1528058898
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePHILLIP E PENDLETONCredential: APRN
Location Address275 THE CROSSROADS BLVD STE ACarmel, CA 93923
Mailing Address40 Ryan Ct, Ste 100Monterey, CA 93940-7866 · (831) 718-9701 · Fax (831) 886-1538
Fax(831) 886-1538
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 26, 2005
Last NPPES UpdateOctober 5, 20182 updates tracked since enumeration
NPI 1528058898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in CA · 14610 Licensed in IN · 71000962A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4984P (KY)
275 THE CROSSROADS BLVD STE A, Carmel, CA 93923

Other Identifiers 3

OtherCA200946CA · Medicare Pin
Medicaid200379310IN
Medicaid78017547KY

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

Phillip E Pendleton Aprn 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 ID2567563026
PECOS Enrollment IDI20160628002987
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 2

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.

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.
276 services266 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93923 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.06
Promoting Interoperability100
Improvement Activities40
Cost63.61

Other Providers at the Same Location NPPES 7

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

Family Medicine
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923
Internal Medicine
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923
Internal Medicine (Pulmonary Disease)
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923
Internal Medicine
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923
Internal Medicine
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923
Internal Medicine
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923
Psychiatry & Neurology (Psychiatry)
275 THE CROSSROADS BLVD STE A
CARMEL, CA 93923

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 Phillip Pendleton's NPI number?

The NPI number for Phillip Pendleton is 1528058898. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Phillip Pendleton located?

Phillip Pendleton practices at 275 The Crossroads Blvd Ste A, Carmel, CA 93923. The listed phone number is (831) 718-9701.

What is Phillip Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Phillip Pendleton enrolled in Medicare?

Yes. Phillip 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.

When was this NPI record last updated?

The NPPES record for Phillip Pendleton was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.