KAITLYN HENDRIX PA-C
NPI 1467038950
Physician Assistant - Medical in Peoria, AZ

Q: What is Kaitlyn Hendrix's NPI number?

The NPI number for Kaitlyn Hendrix is 1467038950. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Kaitlyn Hendrix's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Hendrix was last updated on July 17, 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.

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment

15256 N 75TH AVE STE 360, PEORIA, AZ 85381(623) 486-2424(623) 486-4324 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Mar 1, 2023, Mar 31, 2021 and 1 more (4 updates tracked since 2021).

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About Kaitlyn Hendrix Pa-c NPPES

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

KAITLYN HENDRIX PA-C (NPI 1467038950) is an individual medical provider in Peoria, Arizona, licensed in Arizona (7726) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467038950

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKAITLYN HENDRIXCredential: PA-C

Location Address15256 N 75TH AVE STE 360Peoria, AZ 85381-4761

Mailing Address1839 S Alma School Rd Ste 354Mesa, AZ 85210-3028 · (480) 726-2287 · Fax (888) 503-3312

Phone(623) 486-2424

Fax(623) 486-4324

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 23, 2021

Last NPPES UpdateJuly 17, 20234 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1467038950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 7726

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 7629170001 (AZ), 7047150001 (AZ), 70349500001 (AZ), 7046960001 (AZ), 704516001 (AZ), 7939960001 (AZ), 7209350001 (AZ), 8220410001 (AZ), 7057360001 (AZ)

15256 N 75TH AVE STE 360, Peoria, AZ 85381

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Secondary Practice Locations 8

Location 13011 S Lindsay Rd Ste 101Gilbert, AZ 85295-4333 · Phone (480) 726-2500 · Fax (480) 726-2131

Location 214239 W Bell Rd Ste 108Surprise, AZ 85374-2470 · Phone (623) 248-4283 · Fax (623) 440-4255

Location 32145 E Warner Rd Ste 104Tempe, AZ 85284-3549 · Phone (480) 664-9443 · Fax (480) 664-9378

Location 4270 E Hunt Hwy Ste A-2San Tan Valley, AZ 85143-4962 · Phone (480) 882-2222 · Fax (480) 882-2220

Location 51277 E Missouri Ave Ste 101Phoenix, AZ 85014-2916 · Phone (602) 296-4060 · Fax (602) 296-4146

Location 63130 E Baseline Rd Ste 107Mesa, AZ 85204-7290 · Phone (480) 345-1980 · Fax (480) 926-1721

Location 720860 N Tatum Blvd Ste 290Phoenix, AZ 85050-4282 · Phone (480) 563-1144 · Fax (480) 563-2371

Location 82919 S Ellsworth Rd Ste 111Mesa, AZ 85212-2165 · Phone (480) 564-1185 · Fax (480) 590-4375

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

Kaitlyn Hendrix 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 ID8527475607

PECOS Enrollment IDI20210408001019

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cervical traction equipment not requiring additional stand or frame E0855

DME-Other DME · category DE000N

1 supplier30 claims30 services$37.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICOLE RENEE MADDOX DC

Chiropractor