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KEVIN HENDRICKSON
NPI 1689074957
Emergency Medicine in Fort Drum, NY

Active since August 24, 2014PECOS EnrolledAccepts Medicare Assignment
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(908) 255-2087 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kevin Hendrickson NPPES

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

KEVIN HENDRICKSON (NPI 1689074957) is an individual emergency medicine provider in Fort Drum, New York, licensed in Virginia (0101282168) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Temple University School Of Medicine (2022).

NPPES Registry Identity

NPI1689074957
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEVIN HENDRICKSON
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address86 Knickerbocker DrBelle Mead, NJ 08502-4545 · (908) 255-2087
Phone(908) 255-2087
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2022
Enumeration DateAugust 24, 2014
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1689074957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101282168✔ Licensed in NY · 339422
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602
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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 and accepts Medicare assignment

Kevin 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 ID7719367515
PECOS Enrollment IDI20260209001387
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.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13602 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

DR. MICHAEL HARRIS CARPENTER M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7730
DR. ELIZABETH DUQUE M.D.
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (888) 838-1303
PATRICK ALLEN CLAPP PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-5516
KEVIN LEE LAROSE PHYSICIAN ASSISTANT
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DEEANN STALVEY
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (701) 367-0584
AMBER DONN CANTEY DPT
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (210) 419-1874
JEREMIAH C CLESTER PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DUSTEN GREEN DSW,LCSW, CASAC
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Kevin Hendrickson's NPI number?

The NPI number for Kevin Hendrickson is 1689074957. It was assigned to this individual provider in the NPPES registry on August 24, 2014.

Where is Kevin Hendrickson located?

Kevin Hendrickson practices at 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (908) 255-2087.

What is Kevin Hendrickson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Hendrickson enrolled in Medicare?

Yes. Kevin 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.

Is Kevin Hendrickson affiliated with any hospitals?

According to CMS data, Kevin Hendrickson is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Kevin Hendrickson was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.