REBECCA HENDRICKSON
NPI 1619717717
Nurse Practitioner in Fort Wayne, IN

Active since May 28, 2024PECOS EnrolledAccepts Medicare Assignment
1818 CAREW ST STE 300, FORT WAYNE, IN 46805(260) 425-6650(260) 422-0086 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Nov 4, 2024, Sep 6, 2024 (3 updates tracked since 2024).

About Rebecca Hendrickson NPPES

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

REBECCA HENDRICKSON (NPI 1619717717) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71015403A) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619717717
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA HENDRICKSON
Location Address1818 CAREW ST STE 300Fort Wayne, IN 46805-4764
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 422-0086
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 28, 2024
Last NPPES UpdateJanuary 13, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1619717717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71015403A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 28248085A (IN)
1818 CAREW ST STE 300, Fort Wayne, IN 46805

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

Rebecca Hendrickson 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 ID9638619794
PECOS Enrollment IDI20240904003613
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.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Nurse Practitioner
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Obstetrics & Gynecology (Obstetrics)
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Advanced Practice Midwife
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Obstetrics & Gynecology
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
1818 CAREW ST STE 300
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
1818 CAREW ST STE 300
FORT WAYNE, IN 46805

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 Rebecca Hendrickson's NPI number?

The NPI number for Rebecca Hendrickson is 1619717717. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Rebecca Hendrickson located?

Rebecca Hendrickson practices at 1818 Carew St Ste 300, Fort Wayne, IN 46805. The listed phone number is (260) 425-6650.

What is Rebecca Hendrickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Hendrickson enrolled in Medicare?

Yes. Rebecca 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 Rebecca Hendrickson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Rebecca 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 Rebecca Hendrickson affiliated with any hospitals?

According to CMS data, Rebecca Hendrickson is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rebecca Hendrickson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.