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KENDRA FEJEDELEM FNP-BC
NPI 1053889014
Nurse Practitioner - Family in Pueblo, CO

Active since November 07, 2018PECOS EnrolledAccepts Medicare Assignment
721 JACKSON ST, PUEBLO, CO 81004(719) 752-8487(855) 538-2198 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2025, May 15, 2019, Nov 7, 2018 (3 updates tracked since 2018).

About Kendra Fejedelem Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA FEJEDELEM FNP-BC (NPI 1053889014) is an individual family provider in Pueblo, Colorado, licensed in Colorado (APN.0994631-NP) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053889014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA FEJEDELEMCredential: FNP-BC
Location Address721 JACKSON STPueblo, CO 81004-1711
Mailing Address448 S Mcculloch Blvd # 1008Pueblo West, CO 81007-2888 · (719) 752-8487
Phone(719) 752-8487
Fax(855) 538-2198
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 7, 2018
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1053889014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.0994631-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.0195584 (CO)
721 JACKSON ST, Pueblo, CO 81004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendra Fejedelem Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385977503
PECOS Enrollment IDI20190603002377
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESSENTIAL MENOPAUSE CARE, LLC
Nurse Practitioner (Family)
721 JACKSON ST
PUEBLO, CO 81004
Pueblo County (719) 752-8487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Fejedelem's NPI number?

The NPI number for Kendra Fejedelem is 1053889014. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Kendra Fejedelem located?

Kendra Fejedelem practices at 721 Jackson St, Pueblo, CO 81004. The listed phone number is (719) 752-8487.

What is Kendra Fejedelem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kendra Fejedelem enrolled in Medicare?

Yes. Kendra Fejedelem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kendra Fejedelem was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.