DEBRA MARIE PENDERGAST NP NPI 1992976286

NPI Information

  • NPI: 1992976286
  • Provider Name: DEBRA MARIE PENDERGAST, NP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 4202 W OAKWOOD PARK CT STE 200
    FRANKLIN, WI
    ZIP 53132
  • Phone: (414) 423-5250

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NPI Details

Debra Marie Pendergast, NP is a nurse practitioner in Franklin, WI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Debra Marie Pendergast, NP NPI is 1992976286. 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:

4202 W OAKWOOD PARK CT STE 200
FRANKLIN, WI
ZIP 53132-565
Phone: (414) 423-5250

The enumeration date for this NPI number is 3/14/2008 and was last updated on 11/30/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner847-033WISCONSINYes
2163W00000XRegistered Nurse65923-030WISCONSINNo

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: 11/21/2025

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