KELSEA RENEA FENDER (FNP) – Nurse Practitioner, NPI 1275207771

KELSEA RENEA FENDER (FNP) is a healthcare provider. based in Rome, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN248091 (GA). The NPI Number for KELSEA RENEA FENDER (FNP) is 1275207771

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELSEA RENEA FENDER (FNP)
NPI
1275207771
Phone
(910) 742-9243
Address
1345 Redmond Cir NW
Enumeration Date
6 August 2021
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294247100
Graduation Year
2021 (5 years ago)
PAC ID
8628451366
Group Practice PAC ID
8628296845
Professional Enrollment ID
I20220813000291
Address ID
GA317508857FI200XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KELSEA RENEA FENDER (FNP)

  • 1345 Redmond Cir NW

    Rome, GA 301651307

    Phone: (910) 742-9243

    Type: Location

  • 675 INLET HARBOUR DR

    DOUGLAS, GA 315356588

    Phone: (912) 389-0618

    Type: Mailing

  • 906 BRYAN ST W

    DOUGLAS, GA 315332330

    Phone: (912) 383-9300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Novo Nordisk Inc ($22).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$22
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-13

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
I20220813000291INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30165)

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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: 8628296845View full group profile

Reviews

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Frequently asked questions

Can I verify KELSEA RENEA FENDER (FNP) with an NPI only?
You can start verification with NPI 1275207771 for KELSEA RENEA FENDER (FNP), then check state licensing separately.
Can I rely on KELSEA RENEA FENDER (FNP) being an active provider?
As of the registry snapshot, KELSEA RENEA FENDER (FNP) is marked active.
What is KELSEA RENEA FENDER (FNP)'s specialty?
The listing groups KELSEA RENEA FENDER (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KELSEA RENEA FENDER (FNP) based?
KELSEA RENEA FENDER (FNP) is tied to Rome, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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