Melissa B Pender, NP - Medicare Nurse Practitioner in Jackson, MS

Melissa B Pender, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Jackson, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Foundation Of Central Mississippi Inc and her current practice location is 1200 N State St Ste 270, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 714-6470.

Melissa B Pender is licensed to practice in Mississippi (license number 902839) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063989036.

Contact Information

Melissa B Pender, NP
1200 N State St Ste 270,
Jackson, MS 39202-2027
(601) 714-6470
(601) 714-6471

Map and Direction




Provider's Profile

Full NameMelissa B Pender
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1200 N State St Ste 270, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melissa B Pender graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1063989036
  • Provider Enumeration Date: 10/29/2018
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264777887
  • Enrollment ID: I20181228001806

Medical Identifiers

Medical identifiers for Melissa B Pender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063989036NPI-NPPES
01470542MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 902839 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Foundation Of Central Mississippi Inc1153216411236

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa B Pender allows following entities to bill medicare on her behalf.
Entity NameMedical Foundation Of Central Mississippi Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992774814
PECOS PAC ID: 1153216411
Enrollment ID: O20040217000380
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821
Entity NameMississippi Baptist Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467589556
PECOS PAC ID: 9234026600
Enrollment ID: O20110707000181
Entity NameSt. Dominic Hospital Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104362292
PECOS PAC ID: 5597034348
Enrollment ID: O20170711000091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa B Pender is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa B Pender, NP
965 Ridge Lake Blvd Ste 315,
Memphis, TN 38120-9401

Ph: () -
Melissa B Pender, NP
1200 N State St Ste 270,
Jackson, MS 39202-2027

Ph: (601) 714-6470

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.