Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary K Pendergrass, DO

Individual provider Family Medicine Physician · NPI 1457616872

Dr. Mary K Pendergrass, DO is a Family Practice in West Plains, Missouri. Qualified in 2011, 15 years ago. Practices with Douglas County Public Health Services Group, Inc, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

181 N Kentucky Ave Ste 100
West Plains, MO 65775-2092
Phone: (417) 257-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 816 E Main St, Willow Springs, MO 65793-1518 — (417) 269-2490

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2014030982 (MO)

Record details

NPI number1457616872
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 21, 2022
Mailing address181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Douglas County Public Health Services Group, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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