KATHLEEN MARY PRENDERGAST APN
NPI 1669498846
Nurse Practitioner - Psychiatric/Mental Health in Montclair, NJ

Q: What is Kathleen Prendergast's NPI number?

The NPI number for Kathleen Prendergast is 1669498846. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Kathleen Prendergast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Kathleen Prendergast enrolled in Medicare?

No. Kathleen Prendergast has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since July 14, 2006Opted out of Medicare · through Oct 1, 2027

60 S FULLERTON AVE STE 210, MONTCLAIR, NJ 07042(973) 744-6522(973) 744-6362 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Mary Prendergast Apn NPPES

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

KATHLEEN MARY PRENDERGAST APN (NPI 1669498846) is an individual psychiatric/mental health provider in Montclair, New Jersey, licensed in New Jersey (26NJ00108400) and active in the NPI registry since July 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669498846

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATHLEEN MARY PRENDERGASTCredential: APN

Location Address60 S FULLERTON AVE STE 210Montclair, NJ 07042-2663

Mailing Address47 Washburn PlCaldwell, NJ 07006-5917 · (973) 228-1740

Phone(973) 744-6522

Fax(973) 744-6362

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669498846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ00108400

60 S FULLERTON AVE STE 210, Montclair, NJ 07042

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathleen Mary Prendergast Apn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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

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

MS. SARA KATE FAGAN

Social Worker

60 S FULLERTON AVE STE 210
MONTCLAIR, NJ 07042

Essex County (973) 744-6522

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 Kathleen Prendergast's NPI number?

The NPI number for Kathleen Prendergast is 1669498846. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kathleen Prendergast located?

Kathleen Prendergast practices at 60 S Fullerton Ave Ste 210, Montclair, NJ 07042. The listed phone number is (973) 744-6522.

What is Kathleen Prendergast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Prendergast enrolled in Medicare?

No. Kathleen Prendergast has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kathleen Prendergast was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.