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

Mrs. Jeanna Rae Rendo, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1205466281

Mrs. Jeanna Rae Rendo, NP-C is a Nurse Practitioner in Fruitland, Idaho. Qualified in 2018, 8 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

811 NW 12th St
Fruitland, ID 83619-2268
Phone: (208) 452-7450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 113 S A St, Grangeville, ID 83530-1428 — (208) 717-4940

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 60528 (ID)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 60528 (ID)

Record details

NPI number1205466281
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2020
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare