KODI NICOLE HENDRIX PA
NPI 1912440900
Physician Assistant in Lenoir, NC

Active since November 23, 2016PECOS EnrolledAccepts Medicare Assignment
1208 HICKORY BLVD SW STE 102, LENOIR, NC 28645(828) 991-4660(991) 465-9828 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kodi Nicole Hendrix Pa NPPES

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

KODI NICOLE HENDRIX PA (NPI 1912440900) is an individual physician assistant in Lenoir, North Carolina and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912440900
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKODI NICOLE HENDRIXCredential: PA
Location Address1208 HICKORY BLVD SW STE 102Lenoir, NC 28645-6461
Mailing Address1208 Hickory Blvd Sw Ste 102Lenoir, NC 28645-6461 · (828) 991-4660 · Fax (828) 991-4659
Fax(991) 465-9828
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 23, 2016
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1912440900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1208 HICKORY BLVD SW STE 102, Lenoir, NC 28645

Other Names 1

Former Name (1)Kodi Nicole Ethridge Pa

Secondary Practice Locations 3

Location 1730 Malcolm Blvd Ste 150Connelly Springs, NC 28612-8079 · Phone (828) 874-4600 · Fax (828) 874-8900
Location 22293 Sugar Hill Rd Ste DMarion, NC 28752-7787 · Phone (828) 652-8727 · Fax (828) 652-8793
Location 3695 W Fleming DrMorganton, NC 28655-4450 · Phone (828) 580-3278 · Fax (828) 580-3279

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

Kodi Nicole Hendrix Pa 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 ID6002191822
PECOS Enrollment IDI20170317001285
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
131 services83 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
57 services50 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
33 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services16 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
26 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%295 patients4/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$177.57 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 12

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

Physician Assistant
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Nurse Practitioner (Family)
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Physician Assistant
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Physician Assistant
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Internal Medicine (Gastroenterology)
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Family Medicine
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Family Medicine
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645
Advanced Practice Midwife
1208 HICKORY BLVD SW STE 102
LENOIR, NC 28645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912440900, enumerated as an "individual" on November 23, 2016.

The provider is located at 1208 HICKORY BLVD SW STE 102 LENOIR, NC 28645 and the phone number is (828) 991-4660.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Kodi Hendrix is affiliated with: CALDWELL MEMORIAL HOSPITAL and BLUE RIDGE HEALTHCARE HOSPITALS, INC.