MRS. JESSICA LYNN ENDERS (RD/LD) – Registered Dietitian, NPI 1427280874

MRS. JESSICA LYNN ENDERS (RD/LD) is a healthcare provider. based in Henderson, Nevada. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD/LD. They hold a License No. 34408DI-0 (NV). The NPI Number for MRS. JESSICA LYNN ENDERS (RD/LD) is 1427280874

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA LYNN ENDERS (RD/LD)
NPI
1427280874
Phone
(770) 262-5568
Address
528 SOL DE SANDIA ST
Enumeration Date
19 August 2009
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7025984411
Graduation Year
2003 (23 years ago)
PAC ID
4880069434
Group Practice PAC ID
5991782971
Professional Enrollment ID
I20230412001902
Address ID
NV891092313LA3196XPKWY403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

65 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in NV

Provider Addresses for MRS. JESSICA LYNN ENDERS (RD/LD)

  • 528 SOL DE SANDIA ST

    HENDERSON, NV 890156961

    Phone: (770) 262-5568

    Type: Mailing

  • South Maryland Parkway, John S. Park, Five Points, Las Vegas, Clark County, Nevada, 89101, United States

    STE 690

    LAS VEGAS, NV 891092218

    Phone: (702) 990-4816

    Fax: (702) 733-4961

    Type: Mailing

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: 2023-04-12

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
I20230412001902IRegistered Dietitian Or Nutrition ProfessionalNVTBD

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 89015)

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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: 5991782971View full group profile
NameSpecialtyState
Pediatric Medicine, Pulmonary DiseaseNV
Physical Therapist In Private PracticeNV
Pulmonary DiseaseNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JESSICA LYNN ENDERS (RD/LD)?
MRS. JESSICA LYNN ENDERS (RD/LD) — NPI 1427280874 — is the standard way to identify this listing.
Does CMS list MRS. JESSICA LYNN ENDERS (RD/LD) as active?
Yes — MRS. JESSICA LYNN ENDERS (RD/LD) is active in the NPI listing used on this page.
What is MRS. JESSICA LYNN ENDERS (RD/LD)'s specialty?
The listing groups MRS. JESSICA LYNN ENDERS (RD/LD) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is MRS. JESSICA LYNN ENDERS (RD/LD) based?
MRS. JESSICA LYNN ENDERS (RD/LD) is tied to Henderson, Nevada in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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