MATTHEW PENDERGRASS NP
NPI 1730865247
Nurse Practitioner - Psychiatric/Mental Health in Denver, CO
About Matthew Pendergrass Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW PENDERGRASS NP (NPI 1730865247) is an individual psychiatric/mental health provider in Denver, Colorado, licensed in Colorado (0998814) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Matthew Pendergrass Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Pendergrass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Aurora, CO 80014
- Reassigned Medicare billing, Colorado enrollment
- 22 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 80204 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80204
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 Matthew Pendergrass's NPI number?
The NPI number for Matthew Pendergrass is 1730865247. It was assigned to this individual provider in the NPPES registry on June 27, 2023.
Where is Matthew Pendergrass located?
Matthew Pendergrass practices at 300 W 11th Ave Unit 11G, Denver, CO 80204. The listed phone number is (251) 363-9872.
What is Matthew Pendergrass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Matthew Pendergrass enrolled in Medicare?
Yes. Matthew Pendergrass 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.
Which organizations bill Medicare for Matthew Pendergrass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Pendergrass reassigns Medicare benefits to 2 organizations: Zephyr Behavioral Health And Wellness LLC (Greenwood Village, CO) and Colorado Primary Care Clinic Inc (Aurora, CO). Each 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 Matthew 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 Matthew Pendergrass was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Matthew Pendergrass, NP · NPI 1730865247
Psychiatric/Mental Health physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1730865247 (Entity type: Individual)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0998814 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 W 11TH AVE UNIT 11G, Denver, CO 80204-3690
- **Phone:** (251) 363-9872
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Zephyr Behavioral Health And Wellness LLC (NPI 1386480226, Greenwood Village, CO); Colorado Primary Care Clinic Inc (NPI 1942525902, Aurora, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1730865247) · Data from the CMS NPPES public registry.