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

Q: What is Kodi Hendrix's NPI number?

The NPI number for Kodi Hendrix is 1912440900. It was assigned to this individual provider in the NPPES registry on November 23, 2016. The provider is also known as Kodi Nicole Ethridge PA.

Q: What is Kodi Hendrix's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kodi Hendrix was last updated on June 16, 2022. 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.

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: August 16, 2026.

On this page

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 is a graduate of Other (2016).

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

Phone(828) 991-4660

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

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Other Names 1

Former Name (1)Kodi Nicole Ethridge Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 9

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 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.

178 services79 patients

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.

65 services54 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.

52 services43 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.

38 services21 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

27 services22 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.

24 services24 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.

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC

Internal Medicine (Geriatric Medicine)