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Jennifer Lee Fendler, NP-C

Nurse Practitioner, Family in Bridgeton, MO. Individual provider (NPI-1).

NPI number1609328798
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1609328798
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Lee Fendler
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2016
Certification date
Dec 6, 2021
Last updated
Sep 29, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2016037964MOYes
363LF0000X Nurse Practitioner, Family209015595IL

Practice location

3550 McKelvey Rd
Bridgeton, MO 63044-2535

Phone 314-741-0911 · Fax 314-653-3670

Mailing address

523 Gentle Breeze Dr
Saint Peters, MO 63376-3881

Phone 636-978-7004

Other practice locations

2120 Madison Ave Ste 101
Granite City, IL 62040-4746

Phone 618-876-8214 · Fax 618-451-9111

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Bridgeton, MO

All 34 Family Nurse Practitioner providers in Bridgeton · All 1,440 providers in Bridgeton

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