Doctor profile · Federal record
Dr. Mikka Pendergrass, AGACNP
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Salt Lake City, UT
- NPI 1649846304
- Accepts Medicare
- MIPS 92.1 / 100 · 2023
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1950 Circle of Hope Dr
Salt Lake City, UT 841125500
(801) 581-2436 - Mailing address
-
461 S 400 E
American Fork, UT 840032515
Credentials & registration
- NPI registered
- June 2021 — 5 yrs on file
- Profile last updated
- November 11, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Utah #86680593102
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649846304. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
25
Distinct HCPCS
2
Medicare allowed
$3,251
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 14 | 13 | $117 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $147 |
In context: peer comparison
Among 28 peers in this city , average services per provider: 80. This provider delivers 0.3× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Mikka Pendergrass's medical specialty?
Dr. Mikka Pendergrass practices Acute Care Nurse Practitioner in Salt Lake City, UT.
Where does Dr. Mikka Pendergrass practice?
Dr. Mikka Pendergrass practices at 1950 Circle of Hope Dr, Salt Lake City, UT 841125500. Office phone: 8015812436.
What is Dr. Mikka Pendergrass's NPI?
Dr. Mikka Pendergrass's National Provider Identifier (NPI) is 1649846304, issued by NPPES.
Does Dr. Mikka Pendergrass accept Medicare assignment?
Yes. Dr. Mikka Pendergrass accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mikka Pendergrass commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.