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

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: November 01, 2026.

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
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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Pendergrass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
201 GOVERNORS DR SW STE 400
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 34 clinicians in this Medicare group
Pain Medicine
201 GOVERNORS DR SW STE 400
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 35 clinicians in this Medicare group

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 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.

Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Hospitalist
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Anesthetist, Certified Registered
101 SIVLEY RD SW
HUNTSVILLE, AL 35801

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 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.

Where is Elizabeth Pendergrass located?

Elizabeth Pendergrass practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 265-7317.

What is Elizabeth Pendergrass's specialty?

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

Is Elizabeth Pendergrass enrolled in Medicare?

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

Which organizations bill Medicare for Elizabeth Pendergrass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Pendergrass reassigns Medicare benefits to 2 organizations: Hh Tennessee Valley Pain Center (Huntsville, AL) and Tennessee Valley Pain Consultants, PC (Huntsville, AL). Each 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 Elizabeth 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 Elizabeth Pendergrass was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.