JOANNA NICOLE KALLENDORF (CRNP) – Family Nurse Practitioner, NPI 1295278653

JOANNA NICOLE KALLENDORF (CRNP) is a healthcare provider. based in Troy, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-116722 (AL). The NPI Number for JOANNA NICOLE KALLENDORF (CRNP) is 1295278653

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA NICOLE KALLENDORF (CRNP)
NPI
1295278653
Phone
(334) 670-6726
Address
1414 ELBA HWY
Enumeration Date
2 December 2016
Last Update Date
8 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342993592
Graduation Year
2016 (10 years ago)
PAC ID
5597046011
Group Practice PAC ID
8123009057
Professional Enrollment ID
I20161221001082
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for JOANNA NICOLE KALLENDORF (CRNP)

  • 1414, Elba Highway, Forest Acres Mobile Home Park, Troy, Pike County, Alabama, 36079, United States

    TROY, AL 360796020

    Phone: (334) 670-6726

    Fax: (334) 670-6731

    Type: Mailing

  • 193, Oates Drive, Newton, Dale County, Alabama, 36352, United States

    NEWTON, AL 363524312

    Phone: (334) 299-3592

    Fax: (334) 299-3870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161221001082INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level7640$0
82044Urine microalbumin (protein) analysis4838$0
81003Automated urinalysis test4033$0
82043Urine microalbumin (protein) level2421$0
87804Detection test by immunoassay with direct visual observation for influenza virus2217$0
View full utilization report →

Insurance plans in this area (ZIP 36079)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123009057View full group profile
NameSpecialtyState
Internal MedicineAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
-AL
-AL
Family PracticeAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the registry number for JOANNA NICOLE KALLENDORF (CRNP)?
The registry entry for JOANNA NICOLE KALLENDORF (CRNP) shows NPI 1295278653.
Does the public listing show JOANNA NICOLE KALLENDORF (CRNP) as active?
JOANNA NICOLE KALLENDORF (CRNP)'s NPI record reflects an active status in NPPES.
What type of care does JOANNA NICOLE KALLENDORF (CRNP) provide?
JOANNA NICOLE KALLENDORF (CRNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JOANNA NICOLE KALLENDORF (CRNP)?
JOANNA NICOLE KALLENDORF (CRNP) shows a connection to Troy, Alabama in registry-derived data.
Why is information missing for JOANNA NICOLE KALLENDORF (CRNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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