MRS. JEANNA RAE RENDO NP-C
NPI 1205466281
Nurse Practitioner in Fruitland, ID

Active since January 18, 2020PECOS EnrolledAccepts Medicare Assignment
811 NW 12TH ST, FRUITLAND, ID 83619(208) 452-7450 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2025, Oct 11, 2021, Jan 18, 2020 (3 updates tracked since 2020).

About Mrs. Jeanna Rae Rendo Np-c NPPES

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

MRS. JEANNA RAE RENDO NP-C (NPI 1205466281) is an individual nurse practitioner in Fruitland, Idaho, licensed in Idaho (60528) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Syringa General Hospital, and maintains a secondary practice location in Grangeville.

NPPES Registry Identity

NPI1205466281
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JEANNA RAE RENDOCredential: NP-C
Location Address811 NW 12TH STFruitland, ID 83619-2268
Mailing Address233 E North StGrangeville, ID 83530-1838 · (208) 695-6668
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 18, 2020
Last NPPES UpdateFebruary 7, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1205466281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ID · 60528
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 60528 (ID)
811 NW 12TH ST, Fruitland, ID 83619

Secondary Practice Location 1

Location 1113 S A StGrangeville, ID 83530-1428 · Phone (208) 717-4940 · Fax (208) 717-4990

Accepted Insurance

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

Mrs. Jeanna Rae Rendo Np-c 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 ID5698102523
PECOS Enrollment IDI20200305000718
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
601 services363 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
478 services93 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
176 services154 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
156 services129 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
106 services106 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services68 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Syringa General Hospital

Critical Access Hospitals · Grangeville, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131315
Location607 W Main StreetGrangeville, ID 83530 · Idaho County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83619 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.

Other Providers at the Same Location NPPES 4

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

Dermatology
811 NW 12TH ST
FRUITLAND, ID 83619
Nurse Practitioner (Family)
811 NW 12TH ST
FRUITLAND, ID 83619
Nurse Practitioner (Family)
811 NW 12TH ST
FRUITLAND, ID 83619
Dermatology
811 NW 12TH ST
FRUITLAND, ID 83619

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 Jeanna Rendo's NPI number?

The NPI number for Jeanna Rendo is 1205466281. It was assigned to this individual provider in the NPPES registry on January 18, 2020.

Where is Jeanna Rendo located?

Jeanna Rendo practices at 811 NW 12th St, Fruitland, ID 83619. The listed phone number is (208) 452-7450.

What is Jeanna Rendo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeanna Rendo enrolled in Medicare?

Yes. Jeanna Rendo 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.

What insurance does Jeanna Rendo accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jeanna Rendo 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.

Is Jeanna Rendo affiliated with any hospitals?

According to CMS data, Jeanna Rendo is affiliated with Syringa General Hospital and St Marys Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Jeanna Rendo was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.