Mikka Michele Pendergrass
AGACNP | Nurse Practitioner - Acute Care | 4+ years Exp
1950 Circle Of Hope Dr, Salt Lake City
Utah, 84112-5500
801-581-2436
Mikka Michele Pendergrass is a Salt Lake City, Utah based nurse practitioner with 4 years of experience in Acute Care. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mikka Michele Pendergrass is 86680593102 for Acute Care in Utah. Her current practice location is 1950 Circle Of Hope Dr, Salt Lake City. Patients can reach her at 801-581-2436. Mikka Michele Pendergrass is AGACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1649846304.
Mikka Michele Pendergrass is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mikka Michele Pendergrass speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mikka Michele Pendergrass |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | AGACNP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1950 Circle Of Hope Dr, Salt Lake City,
Utah, 84112-5500 |
| Phone: | 801-581-2436 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2062817786 |
| Enrollment ID: | I20210818003321 |
| NPI Number: | 1649846304 |
| NPI Enumeration Date: | 02 Jun, 2021 |
| NPI Last Update On: | 11 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mikka Michele Pendergrass are as mentioned below.
| License Number | Specialization | State | Status | |
| 86680593102 | Acute Care | Utah | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mikka Michele Pendergrass is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Of Utah Adult Services (0941525273) | 1392 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mikka Michele Pendergrass
461 S 400 E,
American Fork, Utah |
| Zip: | 84003-2515 |
| Phone Number: | 801-901-7688 |
Patients can reach Mikka Michele Pendergrass at
1950 Circle Of Hope Dr, Salt Lake City, Utah or can
call to book an appointment on 801-581-2436.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.