Mallory Miller Pendergrass, AG-ACNP
Acute Care Nurse Practitioner · Jackson, TN
Mallory Miller Pendergrass, AG-ACNP is an acute care nurse practitioner with a practice address in Jackson, Tennessee, and NPI 1629475348, issued on Nov 24, 2014. Check the license (Tennessee 19221, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mallory Miller Pendergrass
- Credential
- AG-ACNP
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- 19221 TN
Self-reported in NPPES; status is on the state search - Practice location
- 620 Skyline Dr, Jackson, TN 38301
- Phone
- (731) 541-6900
- Enumerated
- Nov 24, 2014
- Record last updated
- Jul 21, 2025
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 1,071 in Tennessee → Look up another NPI →
Also registered at 620 Skyline Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ali Abualhayjaa, MDSpecialist1134791197
- Kaleb AdamsPharmacist1508594805
- Mary Adams, RNRegistered Nurse1376492579
- Troy Adkins, APNNurse Practitioner1396250940
- Ashish Agrawal, M.D.Pulmonary Disease Physician1225136484
- Charles Aldrich, PA-CMedical Physician Assistant1235464918
Verify Mallory Miller Pendergrass in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 19221Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average acute care nurse practitioner in 2024
68 Medicare Part D claims for 29 beneficiaries, against an average of 594 among the 13,133 providers of this specialty who prescribed in Part D. 19 claims were for opioids.
Most prescribed
- Tramadol Hcl15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $308.14
10 payments; by number, the most common kind was food and beverage; the largest payer was Abiomed. The 10,984 providers of this specialty with any payment received $647.94 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Mallory Miller Pendergrass among 1,071 acute care nurse practitioner records in Tennessee
Mallory Miller Pendergrass, AG-ACNP is one of 1,071 acute care nurse practitioner records with a practice address in Tennessee. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 39% of them.
- NPI issued2014 · 39% of these records are older, 57% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileNo · 72% of these records are
- Record last updated2025 · 30% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Acute Care Nurse Practitioner providers in Tennessee
There are 1,071 acute care nurse practitioner records in Tennessee.
All 1,071 in Tennessee → Every provider in Jackson → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Nicholas ArcherJackson, TN 383011760934855
- Teresa Fowler, DNPJackson, TN 383011649942236
- Emily Garner, APRNJackson, TN 383011740056167
- Enja Holland, ACNPJackson, TN 383011720317191
- Hunter James, MSN, AGACNP-BC, RNFAJackson, TN 383011154194900
- Wynter Miller, AGACNPJackson, TN 383011154106177
- Clara Barrow, APRNJackson, TN 383051154083657
- Leigh Brandeberry, APNJackson, TN 383051750786018
Common questions
What is Mallory Miller Pendergrass, AG-ACNP's NPI number?
Mallory Miller Pendergrass, AG-ACNP's National Provider Identifier (NPI) is 1629475348, issued on Nov 24, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Mallory Miller Pendergrass, AG-ACNP located?
The NPPES record lists a practice address at 620 Skyline Dr, Jackson, TN, 38301. Phone: (731) 541-6900. Providers update this record themselves, so call before visiting.
How can I verify Mallory Miller Pendergrass, AG-ACNP's license?
NPPES lists Tennessee license number 19221, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
How much does Mallory Miller Pendergrass, AG-ACNP prescribe under Medicare Part D?
In 2024, Mallory Miller Pendergrass, AG-ACNP had 68 Medicare Part D claims for 29 beneficiaries; the average among acute care nurse practitioner prescribers was 594. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.