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MRS. COURTNEY PAIGE PENDERGRAFT FNP
NPI 1790064384
Nurse Practitioner - Family in Kingsport, TN

Active since August 12, 2011PECOS Enrolled
100/100
CMS Quality Rating
130 W RAVINE RD, KINGSPORT, TN 37660(423) 224-4000(423) 224-5120 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Courtney Paige Pendergraft Fnp NPPES

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

MRS. COURTNEY PAIGE PENDERGRAFT FNP (NPI 1790064384) is an individual family provider in Kingsport, Tennessee, licensed in Virginia (0024169574) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790064384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. COURTNEY PAIGE PENDERGRAFTCredential: FNP
Location Address130 W RAVINE RDKingsport, TN 37660-3837
Mailing AddressPo Box 11724Knoxville, TN 37939-1724 · (865) 766-8800 · Fax (865) 766-8874
Phone(423) 224-4000
Fax(423) 224-5120
Sole ProprietorNo
Enumeration DateAugust 12, 2011
✔ NPI 1790064384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024169574
130 W RAVINE RD, Kingsport, TN 37660
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Mrs. Courtney Paige Pendergraft Fnp 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.

Areas of Expertise CMS Part B claims 4

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.

Restorigin, per square centimeter Q4191
Restorigin is a medical procedure that helps in the regeneration of skin tissue. It's typically used for wound healing and involves the application of skin cells to the affected area. The service is charged per square centimeter, relating to the size of the treatment area.
1,542 services32 patients
Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
1,050 services13 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
189 services36 patients
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275
This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
75 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Improvement Activities40
Cost85.55

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.

CLAIRE ELLIOTT PHARMD
Pharmacist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
WPS PROVIDERS INC
General Practice
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
JAMES ROBERT BECK PHARMACIST
Pharmacist
130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660
Sullivan County (423) 224-6860
MRS. REKHA S GUPTA OTR
Occupational Therapist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-5535
MRS. STACEY ANN RYDER CRNA
Nurse Anesthetist, Certified Registered
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
DR. HETVI KIRITKUMAR JOSHI M.D.
Hospitalist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
SHERRY LYNN GOODE NP
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
PATRINA NICOLYN CRADIC FNP-C
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000

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 Courtney Pendergraft's NPI number?

The NPI number for Courtney Pendergraft is 1790064384. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Courtney Pendergraft located?

Courtney Pendergraft practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.

What is Courtney Pendergraft's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Pendergraft enrolled in Medicare?

Yes. Courtney Pendergraft is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Pendergraft accept?

Health plans from Oscar Insurance Company list Courtney Pendergraft 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 Courtney Pendergraft was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.