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

Nicole Pendry

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801448246

Nicole Pendry is a Certified Registered Nurse Anesthetist (CRNA) in Camp Lejeune, North Carolina. Qualified in 2019, 7 years ago. Practices with Outpatient Anesthesia Services of Reston, Ltd, a 38-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
7
Licensed in
IL, MO
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2025009739 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209019713 (IL)

Record details

NPI number1801448246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Outpatient Anesthesia Services Of Reston, Ltd — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Camp Lejeune