MRS. JAMIE LYNN HENDRICKS FNP-BC, RN
NPI 1134484751
Nurse Practitioner - Family in Melba, ID
About Mrs. Jamie Lynn Hendricks Fnp-bc, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAMIE LYNN HENDRICKS FNP-BC, RN (NPI 1134484751) is an individual family provider in Melba, Idaho, licensed in Michigan (4704248959) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jamie Lynn Hendricks Fnp-bc, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jamie Hendricks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand View, ID 83624
- Reassigned Medicare billing, Idaho enrollment
- 21 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Elmore Medical Center
Critical Access Hospitals · Mountain Home, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83641 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jamie Hendricks's NPI number?
The NPI number for Jamie Hendricks is 1134484751. It was assigned to this individual provider in the NPPES registry on July 10, 2012.
Where is Jamie Hendricks located?
Jamie Hendricks practices at 6825 Hove Rd, Melba, ID 83641. The listed phone number is (616) 610-5229.
What is Jamie Hendricks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jamie Hendricks enrolled in Medicare?
Yes. Jamie Hendricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jamie Hendricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Hendricks reassigns Medicare benefits to Glenns Ferry Health Center, Inc. (Grand View, ID). 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 Jamie Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jamie Hendricks accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Moda Health Plan, Inc. and Molina Healthcare and 3 other insurers list Jamie Hendricks 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.
Is Jamie Hendricks affiliated with any hospitals?
According to CMS data, Jamie Hendricks is affiliated with Saint Alphonsus Regional Medical Center and St Luke's Elmore Medical Center.
When was this NPI record last updated?
The NPPES record for Jamie Hendricks was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mrs. Jamie Lynn Hendricks, FNP-BC, RN · NPI 1134484751
Family physician in Melba, Idaho. Individual provider, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1134484751 (Entity type: Individual)
- **Enumerated:** July 10, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704248959 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 6825 HOVE RD, Melba, ID 83641-5201
- **Phone:** (616) 610-5229
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Glenns Ferry Health Center, Inc. (NPI 1972633949, Grand View, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1134484751) · Data from the CMS NPPES public registry.