KATRINA A. HENDRICKS MD
NPI 1699852525
Obstetrics & Gynecology in Antioch, CA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
3624 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5090 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katrina A. Hendricks Md NPPES

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

KATRINA A. HENDRICKS MD (NPI 1699852525) is an individual obstetrics & gynecology provider in Antioch, California, licensed in California (A79961) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1699852525
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATRINA A. HENDRICKSCredential: MD
Location Address3624 DELTA FAIR BLVDAntioch, CA 94509-4006
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 31, 2006
Last NPPES UpdateDecember 20, 2021
✔ NPI 1699852525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A79961
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3624 DELTA FAIR BLVD, Antioch, CA 94509

Other Identifiers 1

Medicaid00A799610CA

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

Katrina A. Hendricks Md 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 ID446203707
PECOS Enrollment IDI20050225000779
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.

Medicare Billing Reassignment

Medicare enrollment records show Katrina Hendricks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 3

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

Nurse Practitioner (Women's Health)
3624 DELTA FAIR BLVD
ANTIOCH, CA 94509
Physical Therapist
3624 DELTA FAIR BLVD
ANTIOCH, CA 94509
Nurse Practitioner (Women's Health)
3624 DELTA FAIR BLVD
ANTIOCH, CA 94509

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 Katrina Hendricks's NPI number?

The NPI number for Katrina Hendricks is 1699852525. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Katrina Hendricks located?

Katrina Hendricks practices at 3624 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5090.

What is Katrina Hendricks's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katrina Hendricks enrolled in Medicare?

Yes. Katrina 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 organization bills Medicare for Katrina Hendricks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Hendricks reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Katrina Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katrina Hendricks was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.