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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(719) 888-1584 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Sep 3, 2025, May 15, 2019 and 1 more (4 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, maintains a secondary practice location in Pueblo, 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 Address721 Jackson StPueblo, CO 81004-1711 · (719) 752-8487 · Fax (719) 888-1584
Phone(719) 752-8487
Fax(719) 888-1584
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 7, 2018
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1650 Dittmer AvePueblo, CO 81005-1212 · Phone (719) 315-6111 · Fax (719) 836-5350

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kendra Fejedelem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essential Menopause Care, LLC
Same address
Family
721 JACKSON ST
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado enrollment
NPI 1538055314 (719) 752-8487
Pueblo Community Health Center Inc
0.6 mi
Federally Qualified Health Center (FQHC)
300 COLORADO AVE
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado enrollment
  • 137 clinicians in this Medicare group
NPI 1770529950 (719) 543-8711
Peak Vista Community Health Centers
44 mi
Federally Qualified Health Center (FQHC)
3205 N ACADEMY BLVD, SUITE 130
Colorado Springs, CO 80917
  • Reassigned Medicare billing, Colorado enrollment
  • 355 clinicians in this Medicare group
NPI 1730166034 (719) 632-5700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kendra Fejedelem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Fejedelem reassigns Medicare benefits to 3 organizations: Essential Menopause Care, LLC (Pueblo, CO), Pueblo Community Health Center Inc (Pueblo, CO) and Peak Vista Community Health Centers (Colorado Springs, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra Fejedelem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendra Fejedelem was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.