Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Courtney Paige Pendergraft, FNP

Individual provider Family Nurse Practitioner · NPI 1790064384

Mrs. Courtney Paige Pendergraft, FNP is a Family Nurse Practitioner in Kingsport, Tennessee. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837 Not confirmed with CMS for 15 years — call before visiting
Phone: (423) 224-4000
Fax: (423) 224-5120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024169574 (VA)

Record details

NPI number1790064384
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 12, 2011
Last updated in NPPESAugust 12, 2011

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients49
Services billed 3,278 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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