Kellie Jo Enderson, ARNP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A162928 Issued in CA

Practice address

27450 Ynez Rd
Temecula, CA 92591-4671

Phone

(951) 383-4333

Fax

(951) 506-2361

NPI assigned

Mar 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kenderson249752@uihcdirect.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.

• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Medicare reassignment NPD
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1861597122
  Medicare reassignment NPD
• Curana Health of Iowa PLLC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1730773714
  Medicare reassignment NPD
• Cass County Memorial Hospital

  dba Cass Health Pharmacy

  • Community/Retail Pharmacy
  • Atlantic, IA
  • NPI 1023755097
  NPD
• Community Health Center of Fort Dodge Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Dodge, IA
  • NPI 1225083728
  NPD
• Community Health Center of Fort Dodge, Inc.

  dba Community Health Center of Clarion

  • Federally Qualified Health Center (FQHC)
  • Clarion, IA
  • NPI 1720854847
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Care Compare affiliation

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1316523459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERSON",
        "first_name": "KELLIE",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A162928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Womens Health LLC
• Empowered Womens Health Physical Therapy PC
• Enalen Family Counseling a Professional Corporation
• Tracy Spears Enalen, LMFT
• Nobel Enayati
• Endless Care Giving Service
• Philine Johanna Endres-Shafer, MD
• Helen Eng, L.AC.
• Quinn Engquist, PA
• Anahi Enriquez

• General Practice Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.