ANNA PENDLETON (FNP) – Nurse Practitioner, NPI 1235158643

ANNA PENDLETON (FNP) is a healthcare provider. based in Kingsport, Tennessee. specializing in Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 7847 (TN). The NPI Number for ANNA PENDLETON (FNP) is 1235158643

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANNA PENDLETON (FNP)
NPI
1235158643
Phone
(423) 230-5000
Address
2050 MEADOWVIEW PKWY
Enumeration Date
18 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232305000
Graduation Year
2002 (24 years ago)
PAC ID
1153450176
Group Practice PAC ID
5799970281
Professional Enrollment ID
I20100528000450
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ANNA PENDLETON (FNP)

  • 2050, Meadowview Parkway, Kingsport, Sullivan County, Tennessee, 37660, United States

    KINGSPORT, TN 376607332

    Phone: (423) 230-5000

    Fax: (423) 230-5010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($63).

Total Amount

$142

General + Research + Ownership

Payments

6

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

Latest reported date

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: 2010-05-28

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
I20100528000450INurse PractitionerTNTBD

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 minutes135109$0
99215Established patient office or other outpatient visit, 40-54 minutes2626$0
80048Blood test, basic group of blood chemicals (calcium, total)2518$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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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: 5799970281View full group profile
NameSpecialtyState
Interventional CardiologyFL
Nurse PractitionerTN
Physician AssistantTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
-TN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyTN
Nurse PractitionerVA

Reviews

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Frequently asked questions

What federal number belongs to ANNA PENDLETON (FNP)?
The federal identifier for ANNA PENDLETON (FNP) is NPI 1235158643.
Is ANNA PENDLETON (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ANNA PENDLETON (FNP) treat or focus on?
Patients typically see ANNA PENDLETON (FNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANNA PENDLETON (FNP)?
The page summarizes Kingsport, Tennessee for ANNA PENDLETON (FNP); expand the address list for detail.
Is ANNA PENDLETON (FNP) a real provider?
This page reflects official NPPES data for NPI 1235158643. Always confirm identity and privileges with the practice and licensing boards.

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