BRENT M PENDERGAST DNP,CRNA
NPI 1619636883
Nurse Anesthetist, Certified Registered in Fort Lauderdale, FL

Q: What is Brent Pendergast's NPI number?

The NPI number for Brent Pendergast is 1619636883. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Q: What is Brent Pendergast's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Pendergast was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since December 14, 2021PECOS EnrolledAccepts Medicare Assignment

4725 N. FEDERAL HWY, FORT LAUDERDALE, FL 33308(954) 771-8000 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Feb 21, 2025, Feb 6, 2024 and 1 more (4 updates tracked since 2021).

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About Brent M Pendergast Dnp,crna NPPES

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

BRENT M PENDERGAST DNP,CRNA (NPI 1619636883) is an individual nurse anesthetist, certified registered in Fort Lauderdale, Florida, licensed in Florida (APRN11030608) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619636883

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRENT M PENDERGASTCredential: DNP,CRNA

Location Address4725 N. FEDERAL HWYFort Lauderdale, FL 33308-4603

Mailing Address2006 Hogback Rd., Suite 5aAnn Arbor, MI 48105-9750 · (734) 263-2414

Phone(954) 771-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 14, 2021

Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1619636883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in FL · APRN11030608✔ Licensed in IA · D184978

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4725 N. FEDERAL HWY, Fort Lauderdale, FL 33308

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Other Identifiers 1

Medicaid121156300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida 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

Brent M Pendergast Dnp,crna 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 ID7416391636

PECOS Enrollment IDI20240215003048, I20250715000183

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 Brent Pendergast reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holy Cross Hospital Inc

Same address

Internal Medicine

4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308

Reassigned Medicare billing, Florida enrollment
393 clinicians in this Medicare group

NPI 1467401877 (954) 351-4702

American Anesthesiology Services Of Florida, Inc.

1,077 mi

Anesthesiology

1305 WALT WHITMAN RD STE 300
Melville, NY 11747

Reassigned Medicare billing, Florida enrollment
628 clinicians in this Medicare group

NPI 1508318387 (516) 945-3000

Cep America - Anesthesia PC

1,312 mi

Anesthesiology

1111 6TH AVE
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
209 clinicians in this Medicare group

NPI 1023809076 (515) 247-3121

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 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services13 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33308 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

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 5

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

CHARLIE MATA CRNA