JAKE E KENDALL APNP
NPI 1295104305
Nurse Practitioner - Family in Appleton, WI

Q: What is Jake Kendall's NPI number?

The NPI number for Jake Kendall is 1295104305. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Q: What is Jake Kendall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jake Kendall was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 18, 2015PECOS Enrolled

2500 E CAPITOL DR, APPLETON, WI 54911(920) 830-6788(999) 999-9999 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 16, 2017 (3 updates tracked since 2017).

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About Jake E Kendall Apnp NPPES

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

JAKE E KENDALL APNP (NPI 1295104305) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (7899) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295104305

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAKE E KENDALLCredential: APNP

Location Address2500 E CAPITOL DRAppleton, WI 54911-8735

Mailing Address122 E College AveAppleton, WI 54911-5794 · (920) 996-3264 · Fax (920) 830-5970

Phone(920) 830-6788

Fax(999) 999-9999

Sole ProprietorNo

Enumeration DateSeptember 18, 2015

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1295104305 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

Licenses✔ Licensed in WI · 7899✔ Licensed in TN · 19857

2500 E CAPITOL DR, Appleton, WI 54911

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Secondary Practice Locations 3

Location 17575 Cockrill Bend BlvdNashville, TN 37209-1056 · Phone (615) 350-2700

Location 2W3208 Van Roy RdAppleton, WI 54915-4086 · Phone (866) 455-8111 · Fax (920) 830-7806

Location 31000 W Northland AveAppleton, WI 54914-1419 · Phone (866) 455-8111 · Fax (920) 831-0827

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake E Kendall Apnp 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 Reassignments

Medicare enrollment records show Jake Kendall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appleton Emergency Services S C

1.8 mi

Emergency Medicine

1818 N MEADE ST
Appleton, WI 54911

Reassigned Medicare billing, Wisconsin enrollment
16 clinicians in this Medicare group

NPI 1588666853 (800) 968-6866

Thedacare, Incorporated

5.4 mi

Counselor

1095 MIDWAY RD
Menasha, WI 54952

Reassigned Medicare billing, Wisconsin enrollment
988 clinicians in this Medicare group

NPI 1306959515 (920) 720-2300

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

123 services118 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

74 services70 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

71 services66 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

ELIZABETH A BARTHEL

Nurse Practitioner (Family)