Mrs Courtney Paige Pendergraft, FNP - Medicare Nurse Practitioner in Kingsport, TN

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Mrs Courtney Paige Pendergraft, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Guardian Biologics Llc, Regional Healthcare Group Llc, Regional Healthcare Group Llc, Guardian Biologics Llc, Regional Healthcare Group Llc and her current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-4000.

Mrs Courtney Paige Pendergraft is licensed to practice in Virginia (license number 0024169574) 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 1790064384.

Contact Information

Mrs Courtney Paige Pendergraft, FNP
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-4000
(423) 224-5120

Map and Direction




Provider's Profile

Full NameMrs Courtney Paige Pendergraft
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location130 W Ravine Rd, Kingsport, Tennessee
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:
  • Mrs Courtney Paige Pendergraft graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1790064384
  • Provider Enumeration Date: 08/12/2011
  • Last Update Date: 08/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5496926511
  • Enrollment ID: I20110922000021

Medical Identifiers

Medical identifiers for Mrs Courtney Paige Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790064384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024169574 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Guardian Biologics Llc812348147014
Regional Healthcare Group Llc822441223414
Regional Healthcare Group Llc822441223414
Guardian Biologics Llc812348147014
Regional Healthcare Group Llc822441223414

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. Mrs Courtney Paige Pendergraft allows following entities to bill medicare on her behalf.
Entity NameNortheast Tennessee Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467427138
PECOS PAC ID: 7517911712
Enrollment ID: O20050310000431
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399
Entity NameTri-cities Observation Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860146
PECOS PAC ID: 3274819719
Enrollment ID: O20170417001080
Entity NameRegional Healthcare Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407587363
PECOS PAC ID: 8224412234
Enrollment ID: O20220824003719
Entity NameGuardian Biologics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033890876
PECOS PAC ID: 8123481470
Enrollment ID: O20231011002956
Entity NameCanvas Biologics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982486940
PECOS PAC ID: 8123474848
Enrollment ID: O20231031003280
Entity NameRebirth Advanced Healing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174390413
PECOS PAC ID: 5698125581
Enrollment ID: O20231218004068

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. Mrs Courtney Paige Pendergraft 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
Mrs Courtney Paige Pendergraft, FNP
Po Box 11724,
Knoxville, TN 37939-1724

Ph: (865) 766-8800		Mrs Courtney Paige Pendergraft, FNP
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-4000

Reviews and Comments


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Sherry Lynn Goode, NP
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Amanda M Malone, MSN, FNP-BC
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Phone: --    
Mary Renee Mcnees, FNP-BC
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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.