Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jared Allen Pendergrass, PA-C

Physician Assistant in Aurora, MO · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780282863

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Registry record

Entity type Individual (Type 1)

Name Jared Allen Pendergrass

Credential PA-C

Sex Male

Practice address 500 Porter Ave, Aurora, MO, 65605

Phone (417) 678-7888

Enumeration date Oct 12, 2020

Last updated in NPPES Oct 27, 2020

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2020009814 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jared Pendergrass?

Jared Pendergrass is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-27.