1. Home
  2. Directory
  3. Tennessee
  4. East Ridge
  5. Nurse Practitioner
  6. NPI Profile

CARLINA LOPEZ PENDON FNP-C
NPI 1831150549
Nurse Practitioner - Family in East Ridge, TN

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
66.48/100
CMS Quality Rating
1508 TOMBRAS AVENUE, EAST RIDGE, TN 37412(423) 867-4969(423) 867-4971 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlina Lopez Pendon Fnp-c NPPES

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

CARLINA LOPEZ PENDON FNP-C (NPI 1831150549) is an individual family provider in East Ridge, Tennessee, licensed in Tennessee (10717) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1831150549
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLINA LOPEZ PENDONCredential: FNP-C
Location Address1508 TOMBRAS AVENUEEast Ridge, TN 37412-2720
Mailing Address1508 Tombras AvenueEast Ridge, TN 37412-2720 · (423) 867-4969 · Fax (423) 867-4971
Phone(423) 867-4969
Fax(423) 867-4971
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 31, 2006
Last NPPES UpdateMarch 3, 2015
✔ NPI 1831150549 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 TN · 10717
1508 TOMBRAS AVENUE, East Ridge, TN 37412
Open in Google Maps ↗

Other Identifiers 5

Medicaid1502791TN
Medicare PIN36481311TN
Other4176928TN · Bcbs Tennessee
Medicare UPINQ34521
Medicaid194230287AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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 and accepts Medicare assignment

Carlina Lopez Pendon Fnp-c 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.

PECOS PAC ID8224089792
PECOS Enrollment IDI20050202000672
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 7

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
136 services41 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
124 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
57 services44 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37412 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.

66.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.4
Promoting Interoperability61
Improvement Activities40
Cost39.3

Other Providers at the Same Location NPPES

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

MS. ARDYCE JANE RIDOLFO MSN,D.PHIL, GNP, FNP
Nurse Practitioner (Gerontology)
1508 TOMBRAS AVENUE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969

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 Carlina Pendon's NPI number?

The NPI number for Carlina Pendon is 1831150549. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Carlina Pendon located?

Carlina Pendon practices at 1508 Tombras Avenue, East Ridge, TN 37412. The listed phone number is (423) 867-4969.

What is Carlina Pendon's specialty?

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

Is Carlina Pendon enrolled in Medicare?

Yes. Carlina Pendon 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.

What insurance does Carlina Pendon accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Carlina Pendon 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 Carlina Pendon was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.