JAMES L PRIDGEN III MSN, FNP-C
NPI 1770074676
Nurse Practitioner in Phoenix, AZ

Q: What is James Pridgen's NPI number?

The NPI number for James Pridgen is 1770074676. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is James Pridgen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for James Pridgen was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since May 25, 2018PECOS Enrolled

20601 N 19TH AVE STE 130, PHOENIX, AZ 85027(877) 564-3627 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2022, Jul 3, 2018, May 25, 2018 (3 updates tracked since 2018).

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About James L Pridgen Iii Msn, Fnp-c NPPES

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

JAMES L PRIDGEN III MSN, FNP-C (NPI 1770074676) is an individual nurse practitioner in Phoenix, Arizona, licensed in Georgia (RN176595) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1770074676

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAMES L PRIDGEN IIICredential: MSN, FNP-C

Location Address20601 N 19TH AVE STE 130Phoenix, AZ 85027-3587

Mailing Address20601 N 19th Ave Ste 130Phoenix, AZ 85027-3587 · (877) 564-3627

Phone(877) 564-3627

Sole ProprietorNo

Enumeration DateMay 25, 2018

Last NPPES UpdateJanuary 28, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1770074676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN176595

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

20601 N 19TH AVE STE 130, Phoenix, AZ 85027

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Secondary Practice Location 1

Location 11035 Vineville StColumbus, GA 31904-6532 · Phone (877) 564-3627

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James L Pridgen Iii Msn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Pridgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renal Associates Of Lagrange LLC

1,564 mi

Nephrology

1300 LAFAYETTE PKWY, BUILDING D
Lagrange, GA 30241

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1679813406 (706) 322-1486

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 85027 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

ELIZABETH SHERYL COOPER NP

Nurse Practitioner