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KENDALL VANJO FNP, RN
NPI 1174333694
Nurse Practitioner - Family in Meridian, ID

Active since January 08, 2025PECOS Enrolled
2330 W EVEREST LN, SUITE 100, MERIDIAN, ID 83646(208) 297-4091 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kendall Vanjo Fnp, Rn NPPES

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

KENDALL VANJO FNP, RN (NPI 1174333694) is an individual family provider in Meridian, Idaho, licensed in Idaho (6961274) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174333694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDALL VANJOCredential: FNP, RN
Location Address2330 W EVEREST LN, SUITE 100Meridian, ID 83646
Mailing Address3628 N Costa Madera WayStar, ID 83669-1127 · (805) 807-5877
Phone(208) 297-4091
Sole ProprietorNo
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1174333694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 6961274
2330 W EVEREST LN, Meridian, ID 83646
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Other Names 1

Former Name (1)Kendall Resnick Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Vanjo Fnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kendall Vanjo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jemericus LLC
11 mi
Family
800 W MAIN ST STE 1460
Boise, ID 83702
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1073123220 (208) 297-4091

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 83646 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Kendall Vanjo's NPI number?

The NPI number for Kendall Vanjo is 1174333694. It was assigned to this individual provider in the NPPES registry on January 8, 2025. The provider is also known as Kendall Resnick Rn.

Where is Kendall Vanjo located?

Kendall Vanjo practices at 2330 W Everest Ln Suite 100, Meridian, ID 83646. The listed phone number is (208) 297-4091.

What is Kendall Vanjo's specialty?

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

Is Kendall Vanjo enrolled in Medicare?

Yes. Kendall Vanjo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendall Vanjo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Vanjo reassigns Medicare benefits to Jemericus LLC (Boise, ID). The 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 Kendall Vanjo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendall Vanjo accept?

Health plans from PacificSource Health Plans list Kendall Vanjo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendall Vanjo was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.