KATHRYN DENISE HENDRICKSON MD
NPI 1093774754
Pediatrics in Fort Smith, AR
About Kathryn Denise Hendrickson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN DENISE HENDRICKSON MD (NPI 1093774754) is an individual pediatrics provider in Fort Smith, Arkansas, licensed in Arkansas (N7631) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Denise Hendrickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathryn Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 4 clinicians in this Medicare group
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 72903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SMITH, AR 72903
FORT SMITH, AR 72903
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 Kathryn Hendrickson's NPI number?
The NPI number for Kathryn Hendrickson is 1093774754. It was assigned to this individual provider in the NPPES registry on March 21, 2006.
Where is Kathryn Hendrickson located?
Kathryn Hendrickson practices at 7303 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 478-7200.
What is Kathryn Hendrickson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathryn Hendrickson enrolled in Medicare?
Yes. Kathryn Hendrickson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathryn Hendrickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Hendrickson reassigns Medicare benefits to Pediatric Partners PA (Fort Smith, AR). 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 Kathryn Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathryn Hendrickson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Kathryn Denise Hendrickson, MD · NPI 1093774754
Pediatrics physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1093774754 (Entity type: Individual)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** N7631 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7303 ROGERS AVE, Fort Smith, AR 72903-4112
- **Phone:** (479) 478-7200 · **Fax:** (478) 478-7225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pediatric Partners PA (NPI 1932168606, Fort Smith, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Other 17654000000; Other 53126 (AR); Other 1625759
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Source: [NPI Profile](https://npiprofile.com/npi/1093774754) · Data from the CMS NPPES public registry.