MISS KELLYE LYNNE PENDERGRASS (ARNP) – Family Nurse Practitioner, NPI 1992776256
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MISS KELLYE LYNNE PENDERGRASS (ARNP)
5660, Raughton Road, Milton, Santa Rosa County, Florida, 32583, United States
MILTON, FL 325839159
Phone: (850) 623-1008
Type: Mailing
Lillian Highway, West Pensacola, Escambia County, Florida, 32506, United States
PENSACOLA, FL 325120001
Phone: (850) 505-6199
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 $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Medtronic, Inc. ($102).
Total Amount
$102
General + Research + Ownership
Payments
1
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $102 |
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.
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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 32583)
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