ELIZABETH ANN PENDERGRASS
NPI 1982402517
Nurse Practitioner - Family in New York, NY

Q: What is Elizabeth Pendergrass's NPI number?

The NPI number for Elizabeth Pendergrass is 1982402517. It was assigned to this individual provider in the NPPES registry on March 7, 2025. The provider is also known as Elizabeth Ann Winenger.

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 March 07, 2025PECOS EnrolledAccepts Medicare Assignment

12 E 86TH ST OFC 4C, NEW YORK, NY 10028(212) 861-6660 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elizabeth Ann Pendergrass NPPES

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

ELIZABETH ANN PENDERGRASS (NPI 1982402517) is an individual family provider in New York, New York, licensed in New York (356357) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1982402517

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH ANN PENDERGRASS

Location Address12 E 86TH ST OFC 4CNew York, NY 10028-0517

Mailing Address1 Research RdRidge, NY 11961-2701 · (631) 751-3000

Phone(212) 861-6660

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1982402517 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 NY · 356357

12 E 86TH ST OFC 4C, New York, NY 10028

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Other Names 1

Former Name (1)Elizabeth Ann Winenger

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

Elizabeth Ann Pendergrass 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 ID6608398045

PECOS Enrollment IDI20250314002841

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 10028 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 8

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

MARIA FRANCIS APRN

Nurse Practitioner (Family)