JOHANNA HENDRICKSON PA-C
NPI 1447416516
Physician Assistant in Heber City, UT

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment
454 E MEDICAL WAY, HEBER CITY, UT 84032(435) 657-4400 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2021, Jun 18, 2021, Jan 24, 2017 (3 updates tracked since 2017).

About Johanna Hendrickson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA HENDRICKSON PA-C (NPI 1447416516) is an individual physician assistant in Heber City, Utah, licensed in Utah (5317663-1206) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447416516
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOHANNA HENDRICKSONCredential: PA-C
Location Address454 E MEDICAL WAYHeber City, UT 84032-1391
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 29, 2008
Last NPPES UpdateAugust 12, 20213 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
NPI 1447416516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 5317663-1206
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 0110007662 (VA)
454 E MEDICAL WAY, Heber City, UT 84032

Other Names 1

Former Name (1)Johanna Hastler-rojas

Secondary Practice Locations 2

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780
Location 2400 Campus Blvd Ste 210Winchester, VA 22601-6906 · Phone (540) 536-3470 · Fax (540) 536-3471

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johanna Hendrickson Pa-c 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.

PECOS PAC ID3173682242
PECOS Enrollment IDI20241217004247
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
454 E MEDICAL WAY
HEBER CITY, UT 84032
Family Medicine
454 E MEDICAL WAY
HEBER CITY, UT 84032
Pediatrics
454 E MEDICAL WAY
HEBER CITY, UT 84032
Pediatrics
454 E MEDICAL WAY
HEBER CITY, UT 84032
Orthopaedic Surgery
454 E MEDICAL WAY
HEBER CITY, UT 84032
Clinic/Center (Urgent Care)
454 E MEDICAL WAY
HEBER CITY, UT 84032
Dietitian, Registered
454 E MEDICAL WAY
HEBER CITY, UT 84032
General Acute Care Hospital (Critical Access)
454 E MEDICAL WAY
HEBER CITY, UT 84032

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 Johanna Hendrickson's NPI number?

The NPI number for Johanna Hendrickson is 1447416516. It was assigned to this individual provider in the NPPES registry on July 29, 2008. The provider is also known as Johanna Hastler-Rojas.

Where is Johanna Hendrickson located?

Johanna Hendrickson practices at 454 E Medical Way, Heber City, UT 84032. The listed phone number is (435) 657-4400.

What is Johanna Hendrickson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johanna Hendrickson enrolled in Medicare?

Yes. Johanna 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.

What insurance does Johanna Hendrickson accept?

Health plans from Blue Cross and Blue Shield of Texas list Johanna Hendrickson 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 Johanna Hendrickson affiliated with any hospitals?

According to CMS data, Johanna Hendrickson is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Johanna Hendrickson was last updated on August 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.