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DR. STEPHANIE HUE PENDERGRASS MD
NPI 1790959203
Pediatrics in Albuquerque, NM

Active since April 15, 2008PECOS Enrolled
11120 MALAGUENA LN NE, ALBUQUERQUE, NM 87111(505) 401-8956 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stephanie Hue Pendergrass Md NPPES

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

DR. STEPHANIE HUE PENDERGRASS MD (NPI 1790959203) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (MD2014-0832) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790959203
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. STEPHANIE HUE PENDERGRASSCredential: MD
Location Address11120 MALAGUENA LN NEAlbuquerque, NM 87111-6861
Mailing Address11120 Malaguena Ln NeAlbuquerque, NM 87111-6861 · (505) 401-8956
Phone(505) 401-8956
Sole ProprietorYes
Enumeration DateApril 15, 2008
Last NPPES UpdateOctober 3, 2014
✔ NPI 1790959203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · MD2014-0832
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11120 MALAGUENA LN NE, Albuquerque, NM 87111
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Other Names 1

Former Name (1)Ms. Stephanie Jane Hue Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Hue Pendergrass Md 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 Stephanie Pendergrass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
3.0 mi
Urgent Care
7920 CARMEL AVE NE
Albuquerque, NM 87122
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1811233927 (505) 828-4789

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 87111 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Stephanie Pendergrass's NPI number?

The NPI number for Stephanie Pendergrass is 1790959203. It was assigned to this individual provider in the NPPES registry on April 15, 2008. The provider is also known as Ms. Stephanie Jane Hue MD.

Where is Stephanie Pendergrass located?

Stephanie Pendergrass practices at 11120 Malaguena Ln NE, Albuquerque, NM 87111. The listed phone number is (505) 401-8956.

What is Stephanie Pendergrass's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephanie Pendergrass enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Pendergrass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Pendergrass reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). 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 Stephanie Pendergrass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Pendergrass was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.