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LORI PRENDERGAST CRNP
NPI 1538433719
Nurse Practitioner - Family in Monongahela, PA

Active since March 06, 2012PECOS Enrolled
1163 COUNTRY CLUB RD, MELENYZER PAVILLION, MONONGAHELA, PA 15063(724) 258-1974(724) 258-1784 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Prendergast Crnp NPPES

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

LORI PRENDERGAST CRNP (NPI 1538433719) is an individual family provider in Monongahela, Pennsylvania, licensed in Pennsylvania (SP011646) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538433719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI PRENDERGASTCredential: CRNP
Location Address1163 COUNTRY CLUB RD, MELENYZER PAVILLIONMonongahela, PA 15063-1013
Mailing Address1163 Country Club Rd, Melenyzer PavillionMonongahela, PA 15063-1013 · (724) 258-1974 · Fax (724) 258-1784
Phone(724) 258-1974
Fax(724) 258-1784
Sole ProprietorNo
Enumeration DateMarch 6, 2012
Last NPPES UpdateJuly 28, 2015
✔ NPI 1538433719 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 PA · SP011646
1163 COUNTRY CLUB RD, Monongahela, PA 15063
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Prendergast Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15063 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

MON VALE CLINICAL PROFESSIONALS, INC.
Anesthesiology
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Washington County (724) 258-1160
MONONGAHELA VALLEY HOSPITAL, INC.
Internal Medicine (Medical Oncology)
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Washington County (724) 292-9404
KAREN LEONE-PRITTS RD, CDE
Dietitian, Registered (Nutrition, Metabolic)
1163 COUNTRY CLUB RD, CD&E
MONONGAHELA, PA 15063
Washington County (724) 258-1483
MICHELLE LYNN RUSSELL LSW
Social Worker
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Washington County (724) 997-5643
MONONGAHELA VALLEY HOSPITAL INC
Pharmacy (Community/Retail Pharmacy)
1163 COUNTRY CLUB RD, ANTHONY M LOMBARDI BUILDING
MONONGAHELA, PA 15063
Washington County (724) 258-1000
BARRY L TONKONOW M.D.
Internal Medicine (Hematology & Oncology)
1163 COUNTRY CLUB RD, MELENYZER PAVILION
MONONGAHELA, PA 15063
Washington County (724) 292-9404
THAMAR PERRY PA-C, LAT, ATC
Physician Assistant (Medical)
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Washington County (724) 258-1000
MS. HANNAH LYNN SHIRLEY CRNP
Nurse Practitioner (Family)
1163 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Washington County (724) 258-1000

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 Lori Prendergast's NPI number?

The NPI number for Lori Prendergast is 1538433719. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Lori Prendergast located?

Lori Prendergast practices at 1163 Country Club Rd Melenyzer Pavillion, Monongahela, PA 15063. The listed phone number is (724) 258-1974.

What is Lori Prendergast's specialty?

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

Is Lori Prendergast enrolled in Medicare?

Yes. Lori Prendergast is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lori Prendergast was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.