KELLIE ENDERSON, ARNP

General Practice Physician · TEMECULA, CA

Individual Active NPI 1316523459

Medicare payment data Part B · 2022

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2022	51	159	$25,141	$9,916	$6,175

Taxonomy & licensure

Specialty	Code	Primary	License	State
General Practice Physician	208D00000X	✓	A162928	CA

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.