SALLY J PENDERGRASS CRNA
NPI 1740427178
Nurse Anesthetist, Certified Registered in Tulsa, OK
About Sally J Pendergrass Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY J PENDERGRASS CRNA (NPI 1740427178) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (R0050582) and active in the NPI registry since January 2009. She is affiliated with Tulsa Spine & Specialty Hospital and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Sally J Pendergrass Crna 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 Reassignment
Medicare enrollment records show Sally Pendergrass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tulsa, OK 74132
- Reassigned Medicare billing, Oklahoma enrollment
- 20 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tulsa Spine & Specialty Hospital
Acute Care Hospitals · Tulsa, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
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 Sally Pendergrass's NPI number?
The NPI number for Sally Pendergrass is 1740427178. It was assigned to this individual provider in the NPPES registry on January 7, 2009.
Where is Sally Pendergrass located?
Sally Pendergrass practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 744-2345.
What is Sally Pendergrass's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Sally Pendergrass enrolled in Medicare?
Yes. Sally 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 organization bills Medicare for Sally Pendergrass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Pendergrass reassigns Medicare benefits to Olympia Anesthesia, Plc (Tulsa, OK). 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 Sally Pendergrass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sally Pendergrass accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Sally Pendergrass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sally Pendergrass affiliated with any hospitals?
According to CMS data, Sally Pendergrass is affiliated with Tulsa Spine & Specialty Hospital.
When was this NPI record last updated?
The NPPES record for Sally Pendergrass was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Sally J Pendergrass, CRNA · NPI 1740427178
Nurse Anesthetist, Certified Registered physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since January 7, 2009.
## Identity
- **NPI:** 1740427178 (Entity type: Individual)
- **Enumerated:** January 7, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R0050582 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1923 S UTICA AVE, Tulsa, OK 74104-6520
- **Phone:** (918) 744-2345
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Olympia Anesthesia, Plc (NPI 1205841186, Tulsa, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 25, 2009
- **Other identifiers:** Medicare PIN OK402054 (OK); Other P00731722 (OK); Medicaid 200232940A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1740427178) · Data from the CMS NPPES public registry.