MRS. MIRANDA LEANN PENDERGRASS
NPI 1649111006
Nurse Practitioner - Women's Health in Sebring, FL
About Mrs. Miranda Leann Pendergrass NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MIRANDA LEANN PENDERGRASS (NPI 1649111006) is an individual women's health provider in Sebring, Florida, licensed in Florida (110441648) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Zolfo Springs, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Miranda Leann Pendergrass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miranda Pendergrass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Avon Park, FL 33825
- Reassigned Medicare billing, Florida enrollment
- Also billed through NPI 1396046637 (Florida)
- 105 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33870 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Miranda Pendergrass's NPI number?
The NPI number for Miranda Pendergrass is 1649111006. It was assigned to this individual provider in the NPPES registry on April 1, 2026.
Where is Miranda Pendergrass located?
Miranda Pendergrass practices at 37 Ryant Blvd, Sebring, FL 33870. The listed phone number is (863) 402-2229.
What is Miranda Pendergrass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Miranda Pendergrass enrolled in Medicare?
Yes. Miranda Pendergrass is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miranda Pendergrass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Pendergrass reassigns Medicare benefits to Adventist Health System-Sunbelt Inc (Avon Park, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Pendergrass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miranda Pendergrass was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Miranda Leann Pendergrass · NPI 1649111006
Women's Health physician in Sebring, Florida. Individual provider, active in the CMS NPPES registry since April 1, 2026.
## Identity
- **NPI:** 1649111006 (Entity type: Individual)
- **Enumerated:** April 1, 2026
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 110441648 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 37 RYANT BLVD, Sebring, FL 33870-8075
- **Phone:** (863) 402-2229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Adventist Health System-Sunbelt Inc (NPI 1881850956, Avon Park, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649111006) · Data from the CMS NPPES public registry.