ELIZABETH THOMAS PENDERGRASS CRNP
NPI 1861909228
Nurse Practitioner - Family in Huntsville, AL

Q: What is Elizabeth Pendergrass's NPI number?

The NPI number for Elizabeth Pendergrass is 1861909228. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Q: What is Elizabeth Pendergrass's specialty?

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

Active since January 08, 2018PECOS Enrolled

101 SIVLEY RD SW, HUNTSVILLE, AL 35801(256) 265-7317 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elizabeth Thomas Pendergrass Crnp NPPES

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

ELIZABETH THOMAS PENDERGRASS CRNP (NPI 1861909228) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-129310) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861909228

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH THOMAS PENDERGRASSCredential: CRNP

Location Address101 SIVLEY RD SWHuntsville, AL 35801-4421

Mailing Address5737 Jones Valley Dr SeHuntsville, AL 35802-1829 · (256) 683-1447

Phone(256) 265-7317

Sole ProprietorNo

Enumeration DateJanuary 8, 2018

✔ NPI 1861909228 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 AL · 1-129310

101 SIVLEY RD SW, Huntsville, AL 35801

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Thomas Pendergrass Crnp 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 35801 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 20

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

DR. STEVEN CLAY OSBORNE JR. M.D.

Anesthesiology