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JENNIE G HENDRIE M.D.
NPI 1013995976
Pediatrics in Bonney Lake, WA

Active since January 02, 2006PECOS Enrolled
10004 204TH AVE E, SUITE 1300, BONNEY LAKE, WA 98391(253) 848-8797(253) 826-1264 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennie G Hendrie M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIE G HENDRIE M.D. (NPI 1013995976) is an individual pediatrics provider in Bonney Lake, Washington, licensed in Washington (MD00036248) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013995976
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIE G HENDRIECredential: M.D.
Location Address10004 204TH AVE E, SUITE 1300Bonney Lake, WA 98391-6535
Mailing Address1706 Meridian S, Suite 120Puyallup, WA 98371-7516 · (253) 848-8797 · Fax (253) 446-3239
Phone(253) 848-8797
Fax(253) 826-1264
Sole ProprietorNo
Enumeration DateJanuary 2, 2006
Last NPPES UpdateNovember 14, 2011
✔ NPI 1013995976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00036248
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10004 204TH AVE E, Bonney Lake, WA 98391
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Other Identifiers 1

Other8230062WA · Dshs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennie G Hendrie M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennie Hendrie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
6.5 mi
Community/Behavioral Health
325 E. PIONEER
Puyallup, WA 98372
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1700925351 (253) 697-8548

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98391 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DON MASSEY PA-C
Physician Assistant
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
MR. BRANDON ALAN SWISHER PA-C
Physician Assistant (Surgical)
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
ERIN ELIZABETH ROTHENBERG PA-C
Physician Assistant
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JEAN PIERE RIVERA NIEVES PA
Physician Assistant (Medical)
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
KIERSTI DEVANEY ARNP
Nurse Practitioner
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
TRAVIS LAIRD PT
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391
Pierce County (253) 863-7510
MR. BRYAN JAMES ANTONIUS R.T.
Radiologic Technologist (Radiography)
10004 204TH AVE E, SUITE 2600
BONNEY LAKE, WA 98391
Pierce County (253) 446-3983
SUSAN M BEARDEMPHL PT
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391
Pierce County (253) 863-7510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennie Hendrie's NPI number?

The NPI number for Jennie Hendrie is 1013995976. It was assigned to this individual provider in the NPPES registry on January 2, 2006.

Where is Jennie Hendrie located?

Jennie Hendrie practices at 10004 204th Ave E Suite 1300, Bonney Lake, WA 98391. The listed phone number is (253) 848-8797.

What is Jennie Hendrie's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennie Hendrie enrolled in Medicare?

Yes. Jennie Hendrie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennie Hendrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennie Hendrie reassigns Medicare benefits to Multicare Health System (Puyallup, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennie Hendrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennie Hendrie accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jennie Hendrie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennie Hendrie was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.