MRS. AMANDA LYNN PENDLETON APRN
NPI 1750953436
Student in an Organized Health Care Education/Training Program in Jacksonville, FL
About Mrs. Amanda Lynn Pendleton Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA LYNN PENDLETON APRN (NPI 1750953436) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (STUDENT) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Amanda Lynn Pendleton Aprn 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Amanda Pendleton's NPI number?
The NPI number for Amanda Pendleton is 1750953436. It was assigned to this individual provider in the NPPES registry on July 13, 2021.
Where is Amanda Pendleton located?
Amanda Pendleton practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Amanda Pendleton's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amanda Pendleton enrolled in Medicare?
Yes. Amanda Pendleton 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 Amanda Pendleton affiliated with any hospitals?
According to CMS data, Amanda Pendleton is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Amanda Pendleton was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Amanda Lynn Pendleton, APRN · NPI 1750953436
Student in an Organized Health Care Education/Training Program provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 13, 2021.
## Identity
- **NPI:** 1750953436 (Entity type: Individual)
- **Enumerated:** July 13, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** STUDENT (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750953436) · Data from the CMS NPPES public registry.