Doctor profile · Federal record

Dr. Amanda Pendragon, APRN

Family Nurse Practitioner (CMS: Nurse Practitioner) · Elizabethtown, KY

  • NPI 1336864198
  • Accepts Medicare
  • MIPS 100.0 / 100 · 2023
  • 4 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
157 Towne Dr Ste 103
Elizabethtown, KY 427018460
(270) 765-5926
fax (270) 763-0051
Mailing address
Po Box 776351
Chicago, IL 606776351

Credentials & registration

NPPES · NUCC
NPI registered
October 2022 — 4 yrs on file
Profile last updated
November 18, 2024
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Kentucky #3018433

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336864198. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
118
Distinct HCPCS
6
Medicare allowed
$8,185
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 35 33 $71
90662 Influenza vaccine split virus, preservative free 20 20 $72
G0008 Administration of influenza virus vaccine 18 18 $25
90480 Admn sarscov2 vacc 1 dose 16 16 $38
91320 Sarscv2 vac 30mcg trs-suc im 16 16 $128
99203 New patient office or other outpatient visit, 30-44 minutes 13 13 $88

In context: peer comparison

Among 35 peers in this city , average services per provider: 94. This provider delivers 1.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
48
Patients
48
Total drug cost
$171
Drug Type Claims Patients Total cost
Amoxicillin Generic 19 19 $63
Azithromycin Generic 16 16 $81
Prednisone Generic 13 13 $27

Frequently asked questions

Auto-generated from federal data
What is Dr. Amanda Pendragon's medical specialty?
Dr. Amanda Pendragon practices Family Nurse Practitioner in Elizabethtown, KY.
Where does Dr. Amanda Pendragon practice?
Dr. Amanda Pendragon practices at 157 Towne Dr Ste 103, Elizabethtown, KY 427018460. Office phone: 2707655926.
What is Dr. Amanda Pendragon's NPI?
Dr. Amanda Pendragon's National Provider Identifier (NPI) is 1336864198, issued by NPPES.
Does Dr. Amanda Pendragon accept Medicare assignment?
Yes. Dr. Amanda Pendragon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Amanda Pendragon commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Influenza vaccine split virus, preservative free (HCPCS 90662); Administration of influenza virus vaccine (HCPCS G0008). Source: CMS Medicare Physician & Other Practitioners file.