Mikka Michele Pendergrass, AGACNP
Acute Care Nurse Practitioner · Salt Lake City, UT
Mikka Michele Pendergrass, AGACNP is an acute care nurse practitioner with a practice address in Salt Lake City, Utah, and NPI 1649846304, issued on Jun 2, 2021. Check the license (Utah 86680593102, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mikka Michele Pendergrass
- Credential
- AGACNP
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- 86680593102 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1950 Circle OF Hope Dr, Salt Lake City, UT 84112
- Phone
- (801) 581-2436
- Enumerated
- Jun 2, 2021
- Record last updated
- Nov 11, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210818003321); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 202 in Utah → Look up another NPI →
Also registered at 1950 Circle OF Hope Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Kate Blake, NPNurse Practitioner1073391025
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- Brittney Brito, PHARMDOncology Pharmacist1366320160
Verify Mikka Michele Pendergrass in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 86680593102Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average acute care nurse practitioner in 2024
74 Medicare Part D claims for 53 beneficiaries, against an average of 594 among the 13,133 providers of this specialty who prescribed in Part D. 13 claims were for opioids.
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.
The practice group's MIPS final score for 2023 (Medicare payment program): 92.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University OF Utah Adult ServicesSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mikka Michele Pendergrass among 202 acute care nurse practitioner records in Utah
Mikka Michele Pendergrass, AGACNP is one of 202 acute care nurse practitioner records with a practice address in Utah. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 69% of them.
- NPI issued2021 · 69% of these records are older, 24% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2021 · median 2018 among the 149 with a school on file
- Record last updated2021 · 57% 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 Utah 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 Utah
There are 202 acute care nurse practitioner records in Utah.
All 202 in Utah → Every provider in Salt Lake City → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Timothy Barton, AGACNP-BCSalt Lake City, UT 841121144671637
- Sadie Bigman, AGACNP-BCSalt Lake City, UT 841121598501850
- Amanda Dailey-Hansen, APRNSalt Lake City, UT 841121992377055
- Emily Erickson, APRNSlc, UT 841121376872952
- Lily Fortunato, AGACNPSalt Lake City, UT 841121881585909
- Angela Gerrard, AGACNP-BCSalt Lake City, UT 841121770967200
- Jennifer Hadley, DNP, AGACNPSalt Lake City, UT 841121184102212
- Jace Johnny, DNP, APRN, AGACNP-BCSalt Lake City, UT 841121558920835
Common questions
What is Mikka Michele Pendergrass, AGACNP's NPI number?
Mikka Michele Pendergrass, AGACNP's National Provider Identifier (NPI) is 1649846304, issued on Jun 2, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Mikka Michele Pendergrass, AGACNP located?
The NPPES record lists a practice address at 1950 Circle OF Hope Dr, Salt Lake City, UT, 84112. Phone: (801) 581-2436. Providers update this record themselves, so call before visiting.
How can I verify Mikka Michele Pendergrass, AGACNP's license?
NPPES lists Utah license number 86680593102, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Mikka Michele Pendergrass, AGACNP prescribe under Medicare Part D?
In 2024, Mikka Michele Pendergrass, AGACNP had 74 Medicare Part D claims for 53 beneficiaries; the average among acute care nurse practitioner prescribers was 594. Part D covers Medicare prescriptions only.
What is Mikka Michele Pendergrass, AGACNP's MIPS final score?
The 2023 MIPS final score is 92.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.