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

Kendra Fejedelem, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1053889014

Kendra Fejedelem, FNP-BC is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2019, 7 years ago. Practices with Peak Vista Community Health Centers, a 127-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

721 Jackson St
Pueblo, CO 81004-1711
Phone: (719) 752-8487
Fax: (855) 538-2198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0994631-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN.0195584 (CO)

Record details

NPI number1053889014
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 7, 2018
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peak Vista Community Health Centers — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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