TAYLOR K HENDRICKSON DO
NPI 1417489261
Anesthesiology in Plymouth, MN
About Taylor K Hendrickson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR K HENDRICKSON DO (NPI 1417489261) is an individual anesthesiology provider in Plymouth, Minnesota, licensed in Minnesota (69129) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2017).
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
Taylor K Hendrickson Do 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 Taylor Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
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 Taylor Hendrickson's NPI number?
The NPI number for Taylor Hendrickson is 1417489261. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Taylor Hendrickson located?
Taylor Hendrickson practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 559-3779.
What is Taylor Hendrickson's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Taylor Hendrickson enrolled in Medicare?
Yes. Taylor Hendrickson 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 Taylor Hendrickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Hendrickson reassigns Medicare benefits to Metropolitan Anesthesia Network, LLP (Plymouth, MN). 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 Taylor Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Taylor Hendrickson affiliated with any hospitals?
According to CMS data, Taylor Hendrickson is affiliated with M Health Fairview Ridges Hospital.
When was this NPI record last updated?
The NPPES record for Taylor Hendrickson was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Taylor K Hendrickson, DO · NPI 1417489261
Anesthesiology physician in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1417489261 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 69129 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14700 28TH AVE N STE 20, Plymouth, MN 55447-4876
- **Phone:** (763) 559-3779 · **Fax:** (763) 450-3986
## 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:** Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2017
## Record status
- **NPPES last updated:** June 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417489261) · Data from the CMS NPPES public registry.