MRS. JEANNA RAE RENDO (NP-C) – Nurse Practitioner, NPI 1205466281
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for MRS. JEANNA RAE RENDO (NP-C)
11341 W CAMAS ST
BOISE, ID 837091212
Phone: (208) 695-6668
Type: Mailing
113 S A St
Grangeville, ID 835301428
Phone: (208) 717-4940
Fax: (208) 717-4990
Type: Location
24537 BLACKBIRD ST
MIDDLETON, ID 836445125
Phone: (208) 695-6668
Type: Mailing
233 E NORTH ST
GRANGEVILLE, ID 835301838
Phone: (208) 695-6668
Type: Mailing
811 NW 12TH ST
FRUITLAND, ID 836192268
Phone: (208) 452-7450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,829.
Total Amount is formed as General ($1,829) + Research ($0) + Ownership ($0) = $1,829.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($888).
Total Amount
$1,829
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,829
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $888 |
| Arcutis Biotherapeutics, Inc. | $381 |
| ABBVIE INC. | $354 |
| Novartis Pharmaceuticals Corporation | $80 |
| Incyte Corporation | $69 |
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: 2020-03-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200305000718 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,200 | 203 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 567 | 338 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 353 | 243 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 191 | 163 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 131 | 100 | $0 |
Insurance plans in this area (ZIP 83709)
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