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JARED ALLEN PENDERGRASS PA-C
NPI 1780282863
Physician Assistant in Aurora, MO

Active since October 12, 2020PECOS Enrolled
500 PORTER AVE, AURORA, MO 65605(417) 678-7888 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Oct 12, 2020 (2 updates tracked since 2020).

About Jared Allen Pendergrass Pa-c NPPES

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

JARED ALLEN PENDERGRASS PA-C (NPI 1780282863) is an individual physician assistant in Aurora, Missouri, licensed in Missouri (2020009814) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780282863
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED ALLEN PENDERGRASSCredential: PA-C
Location Address500 PORTER AVEAurora, MO 65605-2365
Mailing Address500 Porter AveAurora, MO 65605-2365 · (417) 678-7888
Phone(417) 678-7888
Sole ProprietorNo
Enumeration DateOctober 12, 2020
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1780282863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2020009814
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 PORTER AVE, Aurora, MO 65605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Allen Pendergrass Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65605 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 20

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

MS. MARIA MINNAAR BAILEY PA-C
Physician Assistant
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7888
DR. OLUMIDE OLOLADE ADEWUMI MD
Family Medicine
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7888
TIFFANY HILTON PA-C
Physician Assistant (Medical)
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7974
KELLEY COGGIN CRNA
Nurse Anesthetist, Certified Registered
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7800
DR. WILLIAM E. FINFROCK MD
Emergency Medicine
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-2122
DR. KENTON L. STRINGER MD
Family Medicine
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7888
CARISSA HENBEST FNP
Nurse Practitioner (Family)
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7888
DANIELLE C SCHWEKE FNP
Nurse Practitioner (Family)
500 PORTER AVE
AURORA, MO 65605
Lawrence County (417) 678-7888

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 Jared Pendergrass's NPI number?

The NPI number for Jared Pendergrass is 1780282863. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Jared Pendergrass located?

Jared Pendergrass practices at 500 Porter Ave, Aurora, MO 65605. The listed phone number is (417) 678-7888.

What is Jared Pendergrass's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jared Pendergrass enrolled in Medicare?

Yes. Jared Pendergrass is registered in the Medicare PECOS enrollment system.

What insurance does Jared Pendergrass accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica, Octave and UnitedHealthcare list Jared 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.

When was this NPI record last updated?

The NPPES record for Jared Pendergrass was last updated on October 27, 2020. 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.