KELLIE JO ENDERSON ARNP
NPI 1316523459
General Practice in Temecula, CA

Active since March 19, 2021PECOS EnrolledAccepts Medicare Assignment
27450 YNEZ RD, TEMECULA, CA 92591(951) 383-4333(951) 506-2361 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2026, Mar 19, 2021 (2 updates tracked since 2021).

About Kellie Jo Enderson Arnp NPPES

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

KELLIE JO ENDERSON ARNP (NPI 1316523459) is an individual general practice provider in Temecula, California, licensed in California (A162928) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Cass County Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316523459
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKELLIE JO ENDERSONCredential: ARNP
Location Address27450 YNEZ RDTemecula, CA 92591-4671
Mailing Address27450 Ynez RdTemecula, CA 92591-4671 · (951) 383-4333 · Fax (951) 506-2361
Fax(951) 506-2361
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 19, 2021
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
NPI 1316523459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A162928
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

27450 YNEZ RD, Temecula, CA 92591

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

Kellie Jo Enderson Arnp 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 ID6103216296
PECOS Enrollment IDI20211203001312
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.

Hospital Affiliations CMS Care Compare

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

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161376
Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County
Emergency services Birthing friendly

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.

Clinic/Center (Primary Care)
27450 YNEZ RD, SUITE 108
TEMECULA, CA 92591
Clinic/Center (Urgent Care)
27450 YNEZ RD, #128
TEMECULA, CA 92591
Massage Therapist
27450 YNEZ RD
TEMECULA, CA 92591
Family Medicine
27450 YNEZ RD, SUITE 100
TEMECULA, CA 92591
Physical Therapist
27450 YNEZ RD, SUITE 120
TEMECULA, CA 92591
Internal Medicine
27450 YNEZ RD
TEMECULA, CA 92591
Occupational Therapist
27450 YNEZ RD, STE 120
TEMECULA, CA 92591
Family Medicine
27450 YNEZ RD, SUITE 100
TEMECULA, CA 92591

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 Kellie Enderson's NPI number?

The NPI number for Kellie Enderson is 1316523459. It was assigned to this individual provider in the NPPES registry on March 19, 2021.

Where is Kellie Enderson located?

Kellie Enderson practices at 27450 Ynez Rd, Temecula, CA 92591. The listed phone number is (951) 383-4333.

What is Kellie Enderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kellie Enderson enrolled in Medicare?

Yes. Kellie Enderson 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 Kellie Enderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Kellie Enderson 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 Kellie Enderson affiliated with any hospitals?

According to CMS data, Kellie Enderson is affiliated with Cass County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Enderson was last updated on March 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.