Michael Jay Rendle, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1070301 Issued in TX

Practice address

12032 Champlain St
Moreno Valley, CA 92557-7713

Phone

(951) 203-7865

NPI assigned

Sep 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rocky Mountain Kidney Care Professional Service CorpGroup PAC ID 2860929833, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.rendle.1@19427.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
• Direct secure messaging: michael.rendle.1@26729.direct.athenahealth.com
• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Rocky Mountain Kidney Care Professional Service Corp

  • Nephrology Physician
  • Weslaco, TX
  • NPI 1558181636
  Medicare reassignment Care Compare group NPD
• Segue Health of Texas PLLC

  • Family Medicine Physician
  • Azle, TX
  • NPI 1215510763
  Medicare reassignment NPD
• Transtreme, LLC

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1003290453

  CA, TX

  Medicare reassignment NPD
• Hawaii Kidney Specialists, LLP

  • Nephrology Physician
  • Honolulu, HI
  • NPI 1750323440
  NPD
• Rocky Mountain Kidney Care LLC

  • Nephrology Physician
  • Lone Tree, CO
  • NPI 1861082117
  NPD
• East Texas Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canton, TX
  • NPI 1497568513
  NPD (past)
• Premier Dialysis - Dsi, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1114460300
  NPD (past)

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1255945200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12032 CHAMPLAIN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577713",
            "telephone_number": "951-203-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12032 CHAMPLAIN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577713",
            "telephone_number": "951-203-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDLE",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1070301",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedial Medical Group
• Renaissance Radiology Medical Group, Inc.
• Renaissance Village, Inc.
• Renal Treatment Centers California Inc
• Nicole Claudine Render
• Marquise Reneau
• Renewed Grace Restoration LLC
• Ofelia Reotan Rentoria, RPH
• Corina Resabala Villacis
• Erica Respress

• Family Nurse Practitioner in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.