MRS. RACHEL JANETTE KALLEMEYN (FNP) – Family Nurse Practitioner, NPI 1235696287
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for MRS. RACHEL JANETTE KALLEMEYN (FNP)
73 CAMP ANTELOPE RD
COLEVILLE, CA 961079502
Phone: (530) 495-2100
Fax: (760) 873-3935
Type: Location
1593 E POLSTON AVE
POST FALLS, ID 838545326
Phone: (208) 262-2300
Fax: (208) 262-2349
Type: Mailing
250, North See Vee Lane, Bishop, Inyo County, California, 93514, United States
BISHOP, CA 935148130
Phone: (760) 873-8464
Fax: (760) 873-3935
Type: Mailing
199 Twin Lakes Road
Bridgeport, CA 93517
Phone: (530) 495-2100
Type: Location
250 N See Vee Ln
Bishop, CA 935148130
Phone: (760) 873-8464
Fax: (760) 873-3935
Type: Location
73 Camp Antelope Rd
Coleville, CA 961079502
Phone: (530) 495-2100
Fax: (760) 873-3935
Type: Location
199 TWIN LAKES ROAD
BRIDGEPORT, CA 93517
Phone: (530) 495-2100
Type: Location
7173 E SUPER 1 LOOP STE B
ATHOL, ID 838017109
Phone: (208) 561-9901
Fax: (208) 561-9968
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: 2024-11-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190320001543 | I | Nurse Practitioner | CA | TBD |
| I20241101001582 | I | Nurse Practitioner | ID | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| - | WA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | ID |
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