RUTH ANN PENDERGRAST NP-C
NPI 1891185153
Nurse Practitioner in Royal Oak, MI

Q: What is Ruth Ann Pendergrast's NPI number?

The NPI number for Ruth Ann Pendergrast is 1891185153. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Q: What is Ruth Ann Pendergrast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment

80.99/100

CMS Quality Rating

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-4021(248) 898-1473 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Mar 29, 2017 (2 updates tracked since 2017).

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About Ruth Ann Pendergrast Np-c NPPES

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

RUTH ANN PENDERGRAST NP-C (NPI 1891185153) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704117994) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891185153

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRUTH ANN PENDERGRASTCredential: NP-C

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(248) 898-4021

Fax(248) 898-1473

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 26, 2015

Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1891185153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704117994

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704117994 (MI)

3601 W 13 MILE RD, Royal Oak, MI 48073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Ruth Ann Pendergrast Np-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 ID7618293549

PECOS Enrollment IDI20150311001614

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

80.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.25

Promoting Interoperability

100

Improvement Activities

Cost

59.73

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

6 suppliers46 claims98 services$9.37 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

14 suppliers130 claims3,056 services$2.77 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

8 suppliers39 claims41 services$5.90 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

13 suppliers71 claims86 services$3.29 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

19 suppliers175 claims4,330 services$4.76 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388

DME-Orthotic Devices · category DF010N

2 suppliers16 claims320 services$4.19 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

4 suppliers19 claims350 services$5.47 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

3 suppliers11 claims330 services$8.22 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

13 suppliers69 claims1,132 services$2.30 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

9 suppliers60 claims196 services$5.42 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

8 suppliers43 claims951 services$8.05 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

5 suppliers35 claims695 services$5.62 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

4 suppliers15 claims1,500 services$1.67 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

6 suppliers18 claims420 services$3.31 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427

DME-Orthotic Devices · category DF010N

2 suppliers12 claims240 services$2.66 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430

DME-Orthotic Devices · category DF010N

4 suppliers11 claims180 services$8.21 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

3 suppliers19 claims370 services$3.45 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers11 claims500 services$0.34 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

16 suppliers130 claims8,267 services$0.22 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057

DME-Orthotic Devices · category DF010N

8 suppliers77 claims1,786 services$8.78 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

5 suppliers26 claims620 services$2.46 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

17 suppliers132 claims5,415 services$0.22 avg. paid by Medicare

Skin barrier; solid, 6 x 6 or equivalent, each A5121

DME-Orthotic Devices · category DF010N

5 suppliers21 claims483 services$7.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 423-2481

DR. APARNA HARIHARAN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 898-9060

TERRENCE METZ

Radiology (Diagnostic Radiology)

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 898-5000

NICOLE MARIJANOVICH MD

Internal Medicine

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 898-7999

VINAYATA MANUBALLA KARETI D.O.

Internal Medicine (Gastroenterology)

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (661) 948-0803

WESLEY RICHARD BARNES M.D.

Surgery

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 898-2800

MELISSA JOY DREWRY M.D.

Pediatrics

3601 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 898-5000

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 Ruth Ann Pendergrast's NPI number?

The NPI number for Ruth Ann Pendergrast is 1891185153. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Ruth Ann Pendergrast located?

Ruth Ann Pendergrast practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-4021.

What is Ruth Ann Pendergrast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ruth Ann Pendergrast enrolled in Medicare?

Yes. Ruth Ann Pendergrast 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 Ruth Ann Pendergrast accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Ruth Ann Pendergrast 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 Ruth Ann Pendergrast was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.