Jennifer Christine Fendler, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

257625 Issued in AZ

Practice address

924 N Country Club Dr
Mesa, AZ 85201-4108

Phone

(480) 601-3528

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, OR, NV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.fendler@copahealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adobe PH PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1891535142

  NV, OR

  Medicare reassignment NPD
• Adobe Provider Group

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1659850279

  AZ

  Medicare reassignment NPD
• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1922232925

  AZ

  Medicare reassignment NPD
• Noble Care and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1841062577

  Psychiatric/Mental Health

  NPD Authorized official
• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Peoria, AZ
  • NPI 1124252127
  NPD
• Partners in Recovery, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1306698436
  NPD
• Adobe Care and Wellness LLC

  • Case Management Agency
  • Mesa, AZ
  • NPI 1346678935
  NPD (past)
• Equality Medical Group LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1770148322
  NPD (past)
• Equality Health at Home Inc

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1730936329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1003481847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22702 N 39TH TER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505408",
            "telephone_number": "602-799-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014108",
            "telephone_number": "480-601-3528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 N Dobson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852562740",
            "country_code": "US",
            "telephone_number": "602-596-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENDLER",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "257625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.FENDLER@COPAHEALTH.ORG",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "924 N Country Club Dr",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852014108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juan Felix, P.A
• Feliz Behavioral Health PLLC
• Feliz Family Care, PLLC
• Thomas Robert Fels
• Taylor Felton
• Angela Feng
• Sanya Fenn, LMFT
• Lauren Fennell, PA-S
• Stuart B Fensterheim, LCSW
• Wade Reed Fenton, BC-HIS

• All providers in Mesa, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.