Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellie Jo Enderson, ARNP

Individual provider General Practice Physician · NPI 1316523459

Kellie Jo Enderson, ARNP is a Nurse Practitioner in Temecula, California. Qualified in 2020, 6 years ago. Practices with Cass County Memorial Hospital, a 67-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

27450 Ynez Rd
Temecula, CA 92591-4671
Phone: (951) 383-4333
Fax: (951) 506-2361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A162928 (CA)

Record details

NPI number1316523459
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address27450 Ynez Rd, Temecula, CA 92591-4671

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cass County Memorial Hospital — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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