MICHAEL JAY RENDLE NP-C NPI 1255945200

NPI Details

Michael Jay Rendle, NP-C is a family nurse practitioner in Moreno Valley, CA with 6 years of experience. Michael Jay Rendle, NP-C NPI is 1255945200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12032 CHAMPLAIN ST
MORENO VALLEY, CA
ZIP 92557-713
Phone: (951) 203-7865

The NPI 1255945200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient home visit, typically 25 minutes (HCPCS:99348)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 9/6/2020 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: