AMY PENDERGRAFT FNP
NPI 1720436645
Nurse Practitioner - Family in Santa Fe, NM

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
1691 GALISTEO ST STE C, SANTA FE, NM 87505(505) 983-5631 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Pendergraft Fnp NPPES

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

AMY PENDERGRAFT FNP (NPI 1720436645) is an individual family provider in Santa Fe, New Mexico, licensed in New Mexico (81358) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720436645
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY PENDERGRAFTCredential: FNP
Location Address1691 GALISTEO ST STE CSanta Fe, NM 87505-4781
Mailing Address1691 Galisteo St Ste CSanta Fe, NM 87505-4781 · (505) 983-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 1, 2016
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 2, 2025
NPI 1720436645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NM · 81358
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X · License 879769 (NM)
1691 GALISTEO ST STE C, Santa Fe, NM 87505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy Pendergraft Fnp 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 ID5890074363
PECOS Enrollment IDI20241220002771
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.

Hospital Affiliations CMS Care Compare 2

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 6

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

Internal Medicine (Gastroenterology)
1691 GALISTEO ST STE C
SANTA FE, NM 87505
Internal Medicine (Gastroenterology)
1691 GALISTEO ST STE C
SANTA FE, NM 87505
Internal Medicine (Gastroenterology)
1691 GALISTEO ST STE C
SANTA FE, NM 87505
Nurse Practitioner (Family)
1691 GALISTEO ST STE C
SANTA FE, NM 87505
Nurse Practitioner (Acute Care)
1691 GALISTEO ST STE C
SANTA FE, NM 87505
Internal Medicine (Gastroenterology)
1691 GALISTEO ST STE C
SANTA FE, NM 87505

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 Amy Pendergraft's NPI number?

The NPI number for Amy Pendergraft is 1720436645. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Amy Pendergraft located?

Amy Pendergraft practices at 1691 Galisteo St Ste C, Santa Fe, NM 87505. The listed phone number is (505) 983-5631.

What is Amy Pendergraft's specialty?

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

Is Amy Pendergraft enrolled in Medicare?

Yes. Amy Pendergraft is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amy Pendergraft affiliated with any hospitals?

According to CMS data, Amy Pendergraft is affiliated with Christus St Vincent Regional Medical Center and Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Pendergraft was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.