MR. EDWARD MACK HENDRICKS FNP-BC
NPI 1407190309
Nurse Practitioner - Family in Smyrna, DE
About Mr. Edward Mack Hendricks Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD MACK HENDRICKS FNP-BC (NPI 1407190309) is an individual family provider in Smyrna, Delaware, licensed in Delaware (LG-0000616) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.
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 (PECOS)
Mr. Edward Mack Hendricks Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Hendricks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Georgetown, DE 19947
- Reassigned Medicare billing, Delaware enrollment
- 32 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 19977 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SMYRNA, DE 19977
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 Edward Hendricks's NPI number?
The NPI number for Edward Hendricks is 1407190309. It was assigned to this individual provider in the NPPES registry on November 15, 2012.
Where is Edward Hendricks located?
Edward Hendricks practices at 1181 Paddock Rd, Smyrna, DE 19977. The listed phone number is (302) 653-9261.
What is Edward Hendricks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Edward Hendricks enrolled in Medicare?
Yes. Edward Hendricks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Hendricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Hendricks reassigns Medicare benefits to Sun Behavioral Delaware, LLC (Georgetown, DE). 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 Edward Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Hendricks accept?
Health plans from AmeriHealth Caritas Next list Edward 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.
When was this NPI record last updated?
The NPPES record for Edward Hendricks was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Edward Mack Hendricks, FNP-BC · NPI 1407190309
Family physician in Smyrna, Delaware. Individual provider, active in the CMS NPPES registry since November 15, 2012.
## Identity
- **NPI:** 1407190309 (Entity type: Individual)
- **Enumerated:** November 15, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0000616 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1181 PADDOCK RD, Smyrna, DE 19977-9679
- **Phone:** (302) 653-9261 · **Fax:** (302) 659-6887
## 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:** Sun Behavioral Delaware, LLC (NPI 1891213179, Georgetown, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1407190309) · Data from the CMS NPPES public registry.