GLENMORE HENDRICKS NP
NPI 1720293277
Nurse Practitioner in Riverside, CA

Q: What is Glenmore Hendricks's NPI number?

The NPI number for Glenmore Hendricks is 1720293277. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Glenmore Hendricks's specialty?

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

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment

7117 BROCKTON AVE, RIVERSIDE, CA 92506(951) 782-3622 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Glenmore Hendricks Np NPPES

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

GLENMORE HENDRICKS NP (NPI 1720293277) is an individual nurse practitioner in Riverside, California, licensed in California (NP 14239) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1720293277

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameGLENMORE HENDRICKSCredential: NP

Location Address7117 BROCKTON AVERiverside, CA 92506-2658

Mailing Address12742 Limonite AveEastvale, CA 92880-9630 · (951) 782-2731

Phone(951) 782-3622

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 10, 2007

Last NPPES UpdateApril 22, 2023

NPPES CertifiedApril 22, 2023

✔ NPI 1720293277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP 14239

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.

7117 BROCKTON AVE, Riverside, CA 92506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Glenmore Hendricks Np 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 ID4082869789

PECOS Enrollment IDI20200929002525, I20250423000443

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 Reassignments

Medicare enrollment records show Glenmore Hendricks reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Medical Clinic, Inc

0.1 mi

Sports Medicine

7150 BROCKTON AVE
Riverside, CA 92506

Reassigned Medicare billing, California enrollment
349 clinicians in this Medicare group

NPI 1316080880 (951) 683-6370

City Of Hope Medical Group Of Arizona LLC

292 mi

Medical Oncology

14200 CELEBRATE LIFE WAY
Goodyear, AZ 85338

Reassigned Medicare billing, Arizona enrollment
359 clinicians in this Medicare group

NPI 1609026806 (847) 746-4333

Carolinas Physicians Network, Inc.

1,997 mi

Medical Oncology

52 HOSPITAL DR, SUITE 3-A
Columbus, NC 28722

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1184852105 (828) 894-2308

The Charlotte-Mecklenburg Hospital Authority

2,034 mi

General Practice

201 E GROVER ST
Shelby, NC 28150

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1225435126 (980) 487-7427

Carolinas Medical Center

2,073 mi

Family Medicine

1801 ROZZELLES FERRY RD
Charlotte, NC 28208

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1063567428 (704) 446-9987

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services97 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services45 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

28 services28 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.32 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier12 claims48 services$5.53 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$7.98 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$2.69 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier12 claims300 services$0.22 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 20

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

MIRIAM CHO M.D

Family Medicine (Geriatric Medicine)