Courtney Pendergraft, FNP
NPI 1790064384 · Family Nurse Practitioner · Kingsport, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Courtney Pendergraft, FNP is a Family Nurse Practitioner provider in Kingsport, TN (NPI 1790064384).
Provider details
- NPI number
- 1790064384
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024169574 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
264 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Application of Skin Substitute Graft to Wound of Trunk, Arms, Or Legs, 25.0 Sq Cm Or Less of Wound 100.0 Sq Cm Or Less15271 | 189 | $118 |
| Application of Skin Substitute Graft to Wound of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less of Wound 100.0 Sq Cm Or Less15275 | 75 | $123 |
Typical Medicare-allowed amounts for these services range $118–$123 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2011-08-12
Frequently asked questions
- What is Courtney Pendergraft's NPI number?
- Courtney Pendergraft's National Provider Identifier (NPI) is 1790064384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Courtney Pendergraft's specialty?
- Courtney Pendergraft is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Courtney Pendergraft located?
- Courtney Pendergraft's practice location on file with NPPES is 130 W Ravine Rd, Kingsport, TN 37660-3837.
- What is Courtney Pendergraft's phone number?
- The practice phone number listed in the NPPES registry for Courtney Pendergraft is (423) 224-4000.
- Does Courtney Pendergraft accept Medicare?
- Courtney Pendergraft is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Courtney Pendergraft's NPI active?
- Yes — Courtney Pendergraft's NPI (1790064384) is active in the NPPES registry as of the last update on 2011-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.