KAITLIN JANE HENDRIKSMA NP-C
NPI 1952810830
Nurse Practitioner - Primary Care in Detroit, MI

Q: What is Kaitlin Hendriksma's NPI number?

The NPI number for Kaitlin Hendriksma is 1952810830. It was assigned to this individual provider in the NPPES registry on September 24, 2017.

Q: What is Kaitlin Hendriksma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since September 24, 2017PECOS Enrolled

400 RENAISSANCE CTR STE 2600, PBM 2027, DETROIT, MI 48243(888) 731-8994 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Sep 24, 2017 (2 updates tracked since 2017).

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About Kaitlin Jane Hendriksma Np-c NPPES

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

KAITLIN JANE HENDRIKSMA NP-C (NPI 1952810830) is an individual primary care provider in Detroit, Michigan, licensed in Michigan (4704278692) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1952810830

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKAITLIN JANE HENDRIKSMACredential: NP-C

Location Address400 RENAISSANCE CTR STE 2600, PBM 2027Detroit, MI 48243-1599

Mailing Address400 Renaissance Ctr Ste 2600, Pbm 2027Detroit, MI 48243-1599

Phone(888) 731-8994

Sole ProprietorYes

Enumeration DateSeptember 24, 2017

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1952810830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MI · 4704278692

400 RENAISSANCE CTR STE 2600, Detroit, MI 48243

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Secondary Practice Location 1

Location 1111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Jane Hendriksma Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48243 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

CAITLIN N YODER

Nurse Practitioner