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JOSEPH DOUGLAS HENDRICKSON MD
NPI 1457053092
Student in an Organized Health Care Education/Training Program in Everett, WA

Active since March 20, 2023PECOS Enrolled
2511 HARRISON AVE, EVERETT, WA 98201(425) 876-5757 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Douglas Hendrickson Md NPPES

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

JOSEPH DOUGLAS HENDRICKSON MD (NPI 1457053092) is an individual student in an organized health care education/training program in Everett, Washington and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457053092
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH DOUGLAS HENDRICKSONCredential: MD
Location Address2511 HARRISON AVEEverett, WA 98201-3349
Mailing Address2511 Harrison AveEverett, WA 98201-3349 · (425) 876-5757
Phone(425) 876-5757
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1457053092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2511 HARRISON AVE, Everett, WA 98201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Douglas Hendrickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Joseph Hendrickson's NPI number?

The NPI number for Joseph Hendrickson is 1457053092. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Joseph Hendrickson located?

Joseph Hendrickson practices at 2511 Harrison Ave, Everett, WA 98201. The listed phone number is (425) 876-5757.

What is Joseph Hendrickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Hendrickson enrolled in Medicare?

Yes. Joseph Hendrickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Hendrickson was last updated on March 20, 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.