Essential Menopause Care, LLC

Organization Active NPI Family Nurse Practitioner · Pueblo, CO

NPI 1538055314 · NPPES record last updated Aug 18, 2026

Key facts

NPI
1538055314
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
ESSENTIAL MENOPAUSE CARE, LLC
Practice address
721 Jackson St
Pueblo, CO 81004-1711
Phone
(719) 752-8487
NPI assigned
Jun 17, 2025
Organization subpart
No

Authorized official

Name
Ms. Kendra Fejedelem, FNP-BC
Title
Owner
Phone
(719) 752-8487

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250728000478 CO Part B Supplier - Clinic/Group Practice 9739696519 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHIIDD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

721 Jackson St
Pueblo, CO 81004-1711

Mailing address

721 Jackson St
Pueblo, CO 81004-1711
Phone (719) 752-8487

Other providers in Pueblo, CO

All providers in Pueblo, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.