Leslie Pendergrass, NP - Medicare Nurse Practitioner in Alabaster, AL

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Leslie Pendergrass, NP is a medicare enrolled "Nurse Practitioner - Family" in Alabaster, Alabama. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivy Creek Palliative Care, Llc, Ivy Creek Of Elmore Llc and her current practice location is 1000 1st St N, Alabaster, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 620-8547.

Leslie Pendergrass is licensed to practice in Alabama (license number 1-124784) 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 1639541857.

Contact Information

Leslie Pendergrass, NP
1000 1st St N,
Alabaster, AL 35007-8703
(205) 620-8547
Not Available

Map and Direction




Provider's Profile

Full NameLeslie Pendergrass
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1000 1st St N, Alabaster, Alabama
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:
  • Leslie Pendergrass graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1639541857
  • Provider Enumeration Date: 10/27/2015
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456661974
  • Enrollment ID: I20151112000584

Medical Identifiers

Medical identifiers for Leslie Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639541857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-124784 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elmore Community HospitalWetumpka, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ivy Creek Palliative Care, Llc23658545512
Ivy Creek Of Elmore Llc842607550817

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. Leslie Pendergrass allows following entities to bill medicare on her behalf.
Entity NamePhysical Express
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043362734
PECOS PAC ID: 3476531039
Enrollment ID: O20050720000998
Entity NameIvy Creek Of Elmore Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558868323
PECOS PAC ID: 8426075508
Enrollment ID: O20051027001031
Entity NameWetumpka Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194057554
PECOS PAC ID: 6800053133
Enrollment ID: O20120130000098
Entity NameChilton Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366857674
PECOS PAC ID: 7517189855
Enrollment ID: O20141120002311
Entity NameIvy Creek Specialty Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396342184
PECOS PAC ID: 2264844638
Enrollment ID: O20201209002925
Entity NameIvy Creek Palliative Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639776420
PECOS PAC ID: 2365854551
Enrollment ID: O20201211001180

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. Leslie 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
Leslie Pendergrass, NP
Po Box 130,
Wetumpka, AL 36092-0003

Ph: (334) 514-3821		Leslie Pendergrass, NP
1000 1st St N,
Alabaster, AL 35007-8703

Ph: (205) 620-8547

Reviews and Comments


Nurse Practitioner Nurses in Alabaster, AL

Stephanie Lynn Woods,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 1st St N, Alabaster, AL 35007
Phone: 205-620-7059    
Mrs. Amanda T Cabaniss, RN, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1024 1st St N, Central Alabama Oncology, Llc, Alabaster, AL 35007
Phone: 205-664-4051    Fax: 205-664-4054
Brody Weldon, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 1st St N, Alabaster, AL 35007
Phone: 205-620-7004    
Mr. Ricardo Paitz, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 1st St N, Alabaster, AL 35007
Phone: 205-620-8100    
Jennifer Gafnea, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 1st St N Ste C, Alabaster, AL 35007
Phone: 205-381-2381    
William Alexander Woodard,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 1st Street North Ste. C, Alabaster, AL 35007
Phone: 205-663-5990    
Karen Lyle Roberts Fry, MSN, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1002 1st Street N, Suite 301, Alabaster, AL 35007
Phone: 205-621-7915    Fax: 205-620-2503

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.