Brianna Michelle Pendergrass, FNP-BC - Medicare Nurse Practitioner in Jackson, MS

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Brianna Michelle Pendergrass, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Jackson, Mississippi. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trustcare Health, Llc, State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 1325 E Fortification St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 354-4488.

Brianna Michelle Pendergrass is licensed to practice in Mississippi (license number 904177) 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 1518522283.

Contact Information

Brianna Michelle Pendergrass, FNP-BC
1325 E Fortification St,
Jackson, MS 39202-2442
(601) 354-4488
(601) 351-5980

Map and Direction




Physician's Profile

Full NameBrianna Michelle Pendergrass
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1325 E Fortification St, 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:
  • Brianna Michelle Pendergrass graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1518522283
  • Provider Enumeration Date: 05/07/2019
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496084113
  • Enrollment ID: I20210512001005

Medical Identifiers

Medical identifiers for Brianna Michelle Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518522283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 904177 (Mississippi)Secondary
207Q00000XFamily Medicine 25671 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 904177 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trustcare Health, Llc054742785834
State Of Mississippi - University Of Mississippi Medical Center1850293036846

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. Brianna Michelle Pendergrass allows following entities to bill medicare on her behalf.
Entity NameMississippi Sports Medicine & Orthopaedic Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415560
PECOS PAC ID: 4981685310
Enrollment ID: O20040601000238
Entity NameCapital Orthopaedic Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687881
PECOS PAC ID: 0941215255
Enrollment ID: O20060208000127
Entity NameState Of Mississippi-university Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameTrustcare Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427338235
PECOS PAC ID: 0547427858
Enrollment ID: O20120127000834
Entity NameMaxem Health Urgent Care Flowood
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174070650
PECOS PAC ID: 9335429422
Enrollment ID: O20161207000648
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameHealthcare Plus Limited Liability Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063927465
PECOS PAC ID: 5698038610
Enrollment ID: O20180404001439
Entity NameWound Management Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20191021000339

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. Brianna Michelle Pendergrass 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
Brianna Michelle Pendergrass, FNP-BC
110 Villa Way,
Clinton, MS 39056-6106

Ph: (601) 720-7166		Brianna Michelle Pendergrass, FNP-BC
1325 E Fortification St,
Jackson, MS 39202-2442

Ph: (601) 354-4488

Reviews and Comments



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.