MELINDA DAWN PENDERGRAFT CRNA
NPI 1962524652
Nurse Anesthetist, Certified Registered in Lees Summit, MO
About Melinda Dawn Pendergraft Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELINDA DAWN PENDERGRAFT CRNA (NPI 1962524652) is an individual nurse anesthetist, certified registered in Lees Summit, Missouri, licensed in Missouri (2001017791) and active in the NPI registry since April 2007. She is affiliated with Saint Luke's East Hospital and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melinda Dawn Pendergraft Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Melinda Pendergraft reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lees Summit, MO 64086
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Lukes East Anesthesia Services PC
- 78 clinicians in this Medicare group
Blue Springs, MO 64014
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 1,339 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LEES SUMMIT, MO 64086
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 Melinda Pendergraft's NPI number?
The NPI number for Melinda Pendergraft is 1962524652. It was assigned to this individual provider in the NPPES registry on April 4, 2007. The provider is also known as Melinda Dawn Gregory Crna.
Where is Melinda Pendergraft located?
Melinda Pendergraft practices at 100 NE Saint Lukes Blvd, Lees Summit, MO 64086. The listed phone number is (816) 347-5800.
What is Melinda Pendergraft's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Melinda Pendergraft enrolled in Medicare?
Yes. Melinda Pendergraft 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.
Which organizations bill Medicare for Melinda Pendergraft's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Pendergraft reassigns Medicare benefits to 2 organizations: St Lukes East Anesthesia Services,p.C. (Lees Summit, MO) and Saint Luke's Physician Group Inc (Blue Springs, MO). 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 Melinda Pendergraft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melinda Pendergraft accept?
Health plans from Blue Cross and Blue Shield of Kansas City list Melinda Pendergraft 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.
Is Melinda Pendergraft affiliated with any hospitals?
According to CMS data, Melinda Pendergraft is affiliated with Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for Melinda Pendergraft was last updated on April 24, 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.
# Melinda Dawn Pendergraft, CRNA · NPI 1962524652
Nurse Anesthetist, Certified Registered physician in Lees Summit, Missouri. Individual provider, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1962524652 (Entity type: Individual)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2001017791 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 NE SAINT LUKES BLVD, Lees Summit, MO 64086-6000
- **Phone:** (816) 347-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Lukes East Anesthesia Services,p.C. (NPI 1649283177, Lees Summit, MO); Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 24, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1962524652) · Data from the CMS NPPES public registry.