MR. JOHN C HENDRICKS PA-C
NPI 1992705610
Physician Assistant in Grand Rapids, MI

Active since July 22, 2005PECOS Enrolled
75 SHELDON BLVD SE, SUITE 100, GRAND RAPIDS, MI 49503(616) 391-6120(616) 391-6125 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John C Hendricks Pa-c NPPES

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

MR. JOHN C HENDRICKS PA-C (NPI 1992705610) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601001665) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992705610
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN C HENDRICKSCredential: PA-C
Location Address75 SHELDON BLVD SE, SUITE 100Grand Rapids, MI 49503
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503
Fax(616) 391-6125
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateJanuary 3, 2014
NPI 1992705610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601001665
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.
75 SHELDON BLVD SE, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. John C Hendricks Pa-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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 9

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

Social Worker (Clinical)
75 SHELDON BLVD SE, SUITE 100 AND 101
GRAND RAPIDS, MI 49503
Pediatrics
75 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Internal Medicine (Addiction Medicine)
75 SHELDON BLVD SE, SUITE 100
GRAND RAPIDS, MI 49503
Family Medicine
75 SHELDON BLVD SE, SUITE 101
GRAND RAPIDS, MI 49503
Social Worker
75 SHELDON BLVD SE, SUITE 100 & 101
GRAND RAPIDS, MI 49503
Family Medicine
75 SHELDON BLVD SE, SUITE 101
GRAND RAPIDS, MI 49503
Internal Medicine
75 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
75 SHELDON BLVD SE, SUITE 101
GRAND RAPIDS, MI 49503

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 John Hendricks's NPI number?

The NPI number for John Hendricks is 1992705610. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is John Hendricks located?

John Hendricks practices at 75 Sheldon Blvd SE Suite 100, Grand Rapids, MI 49503. The listed phone number is (616) 391-6120.

What is John Hendricks's specialty?

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

Is John Hendricks enrolled in Medicare?

Yes. John Hendricks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Hendricks was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.