Mallory Miller Pendergrass, AG-ACNP
NPI 1629475348ActiveIndividual· Nurse Practitioner, Acute Care· Jackson, TN
Nurse Practitioner, Acute Care (AG-ACNP) in Jackson, Tennessee, licensed in TN, with an NPI issued in November 2014. 71 Medicare patients in 2024, $13,121 paid; nearly all of their 68 Part D prescriptions were generic (94%). Abiomed was the largest of 3 companies reporting payments in 2025, $1,307 in all, mostly food and beverage.
Overview
| NPI | 1629475348 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AG-ACNP |
| Sole proprietor | No |
| NPI issued | Nov 24, 2014 |
| Last updated in NPPES | Jul 21, 2025 |
| Certified by provider | Jul 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 19221 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 128 across 9 procedure codes |
| Paid by Medicare | $13,121 |
Part D prescriptions in 2024
| Prescriptions (claims) | 68 · 68 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $208.90 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
- 2025$1,307 · 22 payments from 3 companies
- 2024$308.14 · 10 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $1,116 | 17 |
| Atricure, Inc. | $150.03 | 3 |
| Becton, Dickinson and Company | $40.74 | 2 |
What the 2025 payments were for
- Food and Beverage$850.07 · 19 payments
- Travel and Lodging$456.79 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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