PHILLIP E PENDLETON (APRN) – Nurse Practitioner, NPI 1528058898

PHILLIP E PENDLETON (APRN) is a healthcare provider. based in Monterey, California. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 71000962A (IN). The NPI Number for PHILLIP E PENDLETON (APRN) is 1528058898

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP E PENDLETON (APRN)
NPI
1528058898
Phone
(831) 718-9701
Address
40 RYAN CT
Enumeration Date
26 October 2005
Last Update Date
5 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8316245311
Graduation Year
1998 (28 years ago)
PAC ID
2567563026
Group Practice PAC ID
7214839125
Professional Enrollment ID
I20160628002987
Address ID
CA939405902MO23625HWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for PHILLIP E PENDLETON (APRN)

  • Ryan Court, Monterey, Monterey County, California, 93955, United States

    STE 100

    MONTEREY, CA 939407866

    Phone: (831) 718-9701

    Fax: (831) 886-1538

    Type: Mailing

  • 275 THE CROSSROADS BLVD STE A

    CARMEL, CA 93923

    Phone: (831) 718-9701

    Fax: (831) 886-1538

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160628002987INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes144141$0
99204New patient office or other outpatient visit, 45-59 minutes100100$0
View full utilization report →

Insurance plans in this area (ZIP 93940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214839125View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
N E U R O L O G YCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Emergency MedicineNM
Nurse PractitionerCA
P A T H O L O G YCA
Nurse PractitionerCA
-CA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check PHILLIP E PENDLETON (APRN) using NPI 1528058898?
NPI 1528058898 belongs to PHILLIP E PENDLETON (APRN); compare other details if you need extra assurance.
Is there an active status for PHILLIP E PENDLETON (APRN)?
For scheduling context, PHILLIP E PENDLETON (APRN) is shown as active in the registry.
What expertise is attributed to PHILLIP E PENDLETON (APRN)?
PHILLIP E PENDLETON (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is PHILLIP E PENDLETON (APRN) registered?
Use Monterey, California as the headline location for PHILLIP E PENDLETON (APRN) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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