Provider Type Icon

CHRISTINA PENDERGHEST CRNP NPI 1962831628


NPI Information

NPI: 1962831628
Provider Name: CHRISTINA PENDERGHEST, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MAIN LINE HEALTHCARE

PECOS Registration: Yes

Address:
120 VALLEY GREEN LN
KING OF PRUSSIA, PA
ZIP 19406
Phone: (484) 324-7222
Get Directions

Christina Penderghest, CRNP is a psychiatric/mental health nurse practitioner in King Of Prussia, PA with 11 years of experience. Christina Penderghest, CRNP NPI is 1962831628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 VALLEY GREEN LN
KING OF PRUSSIA, PA
ZIP 19406-079
Phone: (484) 324-7222

The NPI 1962831628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90832)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 11/4/2013 and was last updated on 5/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN635057PENNSYLVANIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthSP013278PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.