Alicia Pendergrass, FNP in Irmo, SC

Alicia Pendergrass, FNP is a medicare enrolled "Nurse Practitioner - Family" in Irmo, South Carolina. Her current practice location is 1 Wellness Blvd Ste 203, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 749-9920.

Alicia Pendergrass is licensed to practice in South Carolina (license number 19686) 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 1063883767.

Contact Information

	Alicia Pendergrass, FNP
	1 Wellness Blvd Ste 203, Irmo, SC 29063-2873
	(803) 749-9920
	(803) 749-9916

Map and Direction

Provider's Profile

Full Name	Alicia Pendergrass
Gender	Female
Speciality
Experience	Years
Location	1 Wellness Blvd Ste 203, Irmo, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alicia Pendergrass attended and graduated from in

NPI Data:

NPI Number: 1063883767
Provider Enumeration Date: 10/07/2015
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Alicia Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063883767	NPI	-	NPPES
NP3611	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	19686 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	19686 (South Carolina)	Primary

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. Alicia 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 Address	Practice Location Address
Alicia Pendergrass, FNP Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 749-9920	Alicia Pendergrass, FNP 1 Wellness Blvd Ste 203, Irmo, SC 29063-2873 Ph: (803) 749-9920

Reviews and Comments

Nurse Practitioner Nurses in Irmo, SC

Ashley Nichole Baxley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Mrs. Julia P Hoeft, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Dutch Fork Rd, Irmo, SC 29063 Phone: 866-389-2727
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840

Alicia Pendergrass, FNP - Medicare in Irmo, SC