MRS. TIA LYANN HENDRICKS MSN, APRN, FNP-C
NPI 1659090348
Nurse Practitioner in Cape Girardeau, MO
About Mrs. Tia Lyann Hendricks Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIA LYANN HENDRICKS MSN, APRN, FNP-C (NPI 1659090348) is an individual nurse practitioner in Cape Girardeau, Missouri, licensed in Missouri (2022026226) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Mrs. Tia Lyann Hendricks Msn, Aprn, Fnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Tia Hendricks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 470 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 46 clinicians in this Medicare group
Farmington, MO 63640
- Reassigned Medicare billing, Missouri enrollment
- 71 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 8
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Southeast
Acute Care Hospitals · Cape Girardeau, MOMissouri Delta Medical Center
Acute Care Hospitals · Sikeston, MOPoplar Bluff Regional Medical Center
Acute Care Hospitals · Poplar Bluff, MOMercy Hospital Stoddard
Acute Care Hospitals · Dexter, MOMercy Hospital Perry
Critical Access Hospitals · Perryville, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CAPE GIRARDEAU, MO 63701
CAPE GIRARDEAU, MO 63701
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 Tia Hendricks's NPI number?
The NPI number for Tia Hendricks is 1659090348. It was assigned to this individual provider in the NPPES registry on August 25, 2022. The provider is also known as Tia Lyann Goodman.
Where is Tia Hendricks located?
Tia Hendricks practices at 1701 Lacey St, Cape Girardeau, MO 63701. The listed phone number is (573) 331-6431.
What is Tia Hendricks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tia Hendricks enrolled in Medicare?
Yes. Tia Hendricks 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 organizations bill Medicare for Tia Hendricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tia Hendricks reassigns Medicare benefits to 3 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Sikeston Emergency Group LLC (Sikeston, MO) and Parkland Health Center (Farmington, MO). Each 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 Tia Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tia Hendricks accept?
Health plans from Anthem Blue Cross and Blue Shield list Tia Hendricks 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 Tia Hendricks affiliated with any hospitals?
According to CMS data, Tia Hendricks is affiliated with Mercy Hospital Southeast, Missouri Delta Medical Center, Poplar Bluff Regional Medical Center, Mercy Hospital Stoddard and Mercy Hospital Perry.
When was this NPI record last updated?
The NPPES record for Tia Hendricks was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mrs. Tia Lyann Hendricks, MSN, APRN, FNP-C · NPI 1659090348
Nurse Practitioner physician in Cape Girardeau, Missouri. Individual provider, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1659090348 (Entity type: Individual)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2022026226 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 LACEY ST, Cape Girardeau, MO 63701-5230
- **Phone:** (573) 331-6431
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Southeast Missouri Hospital Physicians, LLC (NPI 1558311522, Cape Girardeau, MO); Sikeston Emergency Group LLC (NPI 1427575299, Sikeston, MO); Parkland Health Center (NPI 1922016112, Farmington, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659090348) · Data from the CMS NPPES public registry.