SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1255706065

SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) is a healthcare provider. based in Wellington, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 0024188130 (VA). The NPI Number for SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) is 1255706065

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER)
NPI
1255706065
Phone
(561) 389-2721
Address
2832 SHAUGHNESSY DR
Enumeration Date
4 December 2015
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088476161
Graduation Year
2019 (7 years ago)
PAC ID
7113222605
Group Practice PAC ID
8527971399
Professional Enrollment ID
I20241231001089
Address ID
WI539481931MA1050XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER)

  • 2832 SHAUGHNESSY DR

    WELLINGTON, FL 334146496

    Phone: (561) 389-2721

    Type: Mailing

  • 5352 Linton Blvd

    Delray Beach, FL 334846514

    Phone: (561) 498-4440

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5452

    Type: Mailing

  • 1 HEALTH CIR

    LEXINGTON, VA 244502448

    Phone: (540) 458-3300

    Fax: (540) 458-3456

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-05-08 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160222000854INurse PractitionerFLTBD
I20241231001089INurse PractitionerWITBD
I20250314002530INurse PractitionerVATBD
I20250917000171INurse PractitionerSCTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes196188$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 33414)

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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: 8527971399View full group profile
NameSpecialtyState
-WI
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI
Orthopedic SurgeryWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWI
General SurgeryWI
-WI
Orthopedic SurgeryWI
Physician AssistantWI

Reviews

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Frequently asked questions

What number should I use to identify SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) for billing?
Administrative and clinical systems typically use NPI 1255706065 for SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER).
Should I treat SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) as an active provider?
Patients and plans typically see SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) as active in the national extract.
What does the directory say SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) does?
Insurance directories may phrase it differently, but here SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER)?
SUZETTE MARSHALYN PRENDERGAST (NURSE PRACTITIONER) shows a connection to Wellington, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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