KRYSTAL ANN PENDERGRAFT
NPI 1639678204
Nurse Practitioner - Family in Goldsboro, NC

Q: What is Krystal Pendergraft's NPI number?

The NPI number for Krystal Pendergraft is 1639678204. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Q: What is Krystal Pendergraft's specialty?

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

Active since February 08, 2018PECOS Enrolled

2280 US HIGHWAY 70 W, GOLDSBORO, NC 27530(919) 735-1400(919) 581-0353 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Krystal Ann Pendergraft NPPES

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

KRYSTAL ANN PENDERGRAFT (NPI 1639678204) is an individual family provider in Goldsboro, North Carolina, licensed in North Carolina (5010245) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639678204

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRYSTAL ANN PENDERGRAFT

Location Address2280 US HIGHWAY 70 WGoldsboro, NC 27530-9546

Mailing Address2280 Us Highway 70 WGoldsboro, NC 27530-9546 · (919) 735-1400 · Fax (919) 581-0353

Phone(919) 735-1400

Fax(919) 581-0353

Sole ProprietorNo

Enumeration DateFebruary 8, 2018

✔ NPI 1639678204 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 NC · 5010245

2280 US HIGHWAY 70 W, Goldsboro, NC 27530

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Ann Pendergraft 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 27530 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Leave this field empty

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.

DR. CHRIS ANTHONY PATE M.D.

Family Medicine