KATHRYN L PRENDERGAST (PA) – Physician Assistant, NPI 1427000702

KATHRYN L PRENDERGAST (PA) is a healthcare provider. based in Kettering, Ohio. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 50000711 (OH). The NPI Number for KATHRYN L PRENDERGAST (PA) is 1427000702

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN L PRENDERGAST (PA)
NPI
1427000702
Phone
(800) 875-0136
Address
4750 HEMPSTEAD STATION DR
Enumeration Date
16 May 2006
Last Update Date
20 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7405492700
Graduation Year
2003 (23 years ago)
PAC ID
7416987748
Group Practice PAC ID
3476733700
Professional Enrollment ID
I20050817000024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KATHRYN L PRENDERGAST (PA)

  • 4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454295164

    Phone: (800) 875-0136

    Fax: (937) 619-4231

    Type: Mailing

  • 1343, North Fountain Boulevard, Ridgewood, Springfield, Clark County, Ohio, 45504, United States

    SPRINGFIELD, OH 455041422

    Phone: (937) 390-5000

    Fax: (937) 390-5526

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45429)

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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: 3476733700View full group profile
NameSpecialtyState
-NC
Nurse PractitionerOH
General PracticeOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerIL
Emergency MedicineOH
Family PracticeOH
-OH
Physician AssistantOH

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Frequently asked questions

Can I use this page to confirm KATHRYN L PRENDERGAST (PA)'s NPI?
Yes. KATHRYN L PRENDERGAST (PA) is listed with NPI 1427000702 in the public NPI dataset.
Is KATHRYN L PRENDERGAST (PA) listed as active for patients and plans?
The listing shows KATHRYN L PRENDERGAST (PA) as active in the NPI system.
What is KATHRYN L PRENDERGAST (PA)'s specialty?
The listing groups KATHRYN L PRENDERGAST (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KATHRYN L PRENDERGAST (PA) based?
KATHRYN L PRENDERGAST (PA) is tied to Kettering, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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