MR. ALEXANDER LEE PENDERGRASS FNP-C
NPI 1982212841
Nurse Practitioner - Family in Bridgeport, TX
About Mr. Alexander Lee Pendergrass Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ALEXANDER LEE PENDERGRASS FNP-C (NPI 1982212841) is an individual family provider in Bridgeport, Texas, licensed in Texas (1003207) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Alexander Lee Pendergrass Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Alexander Pendergrass reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colleyville, TX 76034
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Flower Mound, TX 75022
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Flower Mound, TX 75022
- Reassigned Medicare billing, Texas enrollment
- 3 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGEPORT, TX 76426
BRIDGEPORT, TX 76426
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 Alexander Pendergrass's NPI number?
The NPI number for Alexander Pendergrass is 1982212841. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Alexander Pendergrass located?
Alexander Pendergrass practices at 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426. The listed phone number is (817) 966-2960.
What is Alexander Pendergrass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alexander Pendergrass enrolled in Medicare?
Yes. Alexander Pendergrass is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alexander Pendergrass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Pendergrass reassigns Medicare benefits to 3 organizations: Burnaby Medical Group LLC (Colleyville, TX), Gulf Shoals PLLC (Flower Mound, TX) and Ascend Medical Group PLLC (Flower Mound, TX). 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 Alexander Pendergrass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexander Pendergrass accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Alexander Pendergrass 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 Alexander Pendergrass was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Alexander Lee Pendergrass, FNP-C · NPI 1982212841
Family physician in Bridgeport, Texas. Individual provider, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1982212841 (Entity type: Individual)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1003207 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 808 WOODROW WILSON RAY CIR, Bridgeport, TX 76426-2061
- **Phone:** (817) 966-2960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Burnaby Medical Group LLC (NPI 1104510577, Colleyville, TX); Gulf Shoals PLLC (NPI 1497515894, Flower Mound, TX); Ascend Medical Group PLLC (NPI 1669302113, Flower Mound, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1982212841) · Data from the CMS NPPES public registry.