JONATHAN HEDRICK
NPI 1417342106
Family Medicine in Roseville, CA
About Jonathan Hedrick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN HEDRICK (NPI 1417342106) is an individual family medicine provider in Roseville, California, licensed in California (A157270) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2015).
NPPES Registry Identity
Specialties & Licenses
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
Jonathan Hedrick 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 Reassignments
3Medicare enrollment records show Jonathan Hedrick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Truckee, CA 96161
- Reassigned Medicare billing, California enrollment
- 129 clinicians in this Medicare group
Mebane, NC 27302
- Reassigned Medicare billing, North Carolina enrollment
- 636 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Jonathan Hedrick's NPI number?
The NPI number for Jonathan Hedrick is 1417342106. It was assigned to this individual provider in the NPPES registry on March 31, 2015.
Where is Jonathan Hedrick located?
Jonathan Hedrick practices at 3100 Douglas Blvd, Roseville, CA 95661. The listed phone number is (916) 774-8300.
What is Jonathan Hedrick's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Hedrick enrolled in Medicare?
Yes. Jonathan Hedrick 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 organizations bill Medicare for Jonathan Hedrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Hedrick reassigns Medicare benefits to 3 organizations: Sutter Medical Foundation (Sacramento, CA), Tahoe Forest Hospital District (Truckee, CA) and Duke University Affiliated Physicians, Inc. (Mebane, NC). Each 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 Jonathan Hedrick'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 Jonathan Hedrick was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jonathan Hedrick · NPI 1417342106
Family Medicine physician in Roseville, California. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1417342106 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A157270 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 DOUGLAS BLVD, Roseville, CA 95661-3866
- **Phone:** (916) 774-8300
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); Tahoe Forest Hospital District (NPI 1538265780, Truckee, CA); Duke University Affiliated Physicians, Inc. (NPI 1750536157, Mebane, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Brody School Of Medicine At East Carolina University, class of 2015
## Record status
- **NPPES last updated:** August 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417342106) · Data from the CMS NPPES public registry.