Amy Pendergraft, FNP in Santa Fe, NM - Medicare Nurse Practitioner

Amy Pendergraft, FNP is a medicare enrolled "Nurse Practitioner - Family" in Santa Fe, New Mexico. Her current practice location is 1691 Galisteo St Ste C, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 983-5631.

Amy Pendergraft is licensed to practice in New Mexico (license number 81358) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720436645.

Contact Information

	Amy Pendergraft, FNP
	1691 Galisteo St Ste C, Santa Fe, NM 87505-4781
	(505) 983-5631
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Pendergraft
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1691 Galisteo St Ste C, Santa Fe, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720436645
Provider Enumeration Date: 06/01/2016
Last Update Date: 04/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5890074363
Enrollment ID: I20241220002771

Medical Identifiers

Medical identifiers for Amy Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720436645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	81358 (New Mexico)	Primary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	879769 (New Mexico)	Secondary

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. Amy Pendergraft allows following entities to bill medicare on her behalf.

Entity Name	Nnm Gastroenterology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699881417 PECOS PAC ID: 5496653230 Enrollment ID: O20031230000654

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. Amy 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 Address	Practice Location Address
Amy Pendergraft, FNP 1691 Galisteo St Ste C, Santa Fe, NM 87505-4781 Ph: (505) 983-5631	Amy Pendergraft, FNP 1691 Galisteo St Ste C, Santa Fe, NM 87505-4781 Ph: (505) 983-5631

Reviews and Comments

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Amy Pendergraft, FNP - Medicare Nurse Practitioner in Santa Fe, NM