Brian Ross Hendrickson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2013035076 Issued in MO

Practice address

2316 E Meyer Blvd
Kansas City, MO 64132-1136

Phone

(913) 428-2900

NPI assigned

Apr 26, 2013

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Medical Center - MaryvilleGroup PAC ID 3678813896, 76 clinicians

Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732

  MO

  Medicare reassignment Care Compare group NPD
• Mosaic Medical Center - Maryville

  • Specialist
  • Maryville, MO
  • NPI 1184189797
  Medicare reassignment Care Compare group
• Capital Anesthesia Solutions of Missouri LLC

  • Anesthesiology Physician
  • Rombauer, MO
  • NPI 1770185472

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment NPD
• Apollo Medical Group of Overland Park LLC

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1588220578

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Dynamos Anesthesia Services LLC

  • Anesthesiology Physician
  • Leavenworth, KS
  • NPI 1639719180

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1538200357
  NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care at St. Joseph Acute Rehab

  • Rehabilitation Hospital Unit
  • Saint Joseph, MO
  • NPI 1841385093
  NPD
• Meritas Health Corporation

  dba NKC Health

  • Anesthesiology Physician
  • North Kansas City, MO
  • NPI 1184267262
  NPD
• Meritas Health Corporation

  • Neurology Physician
  • Kansas City, MO
  • NPI 1669323291
  NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1053755504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST",
            "address_2": "SUITE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102144",
            "telephone_number": "913-428-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E MEYER BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321136",
            "telephone_number": "913-428-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "BRIAN",
        "middle_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557199",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2013035076",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "794593",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2010033733",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-122922-101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Matthew Hendricks, D.O.
• Deneice Lene Hendricks, PT
• Gerry Jennifer Hendricks
• Heather Hendricks, DDS, MS
• Holden Hendricks
• Richard Joseph Hendrickson, MD
• Annabelle Hendrix, D.O.
• Matthew Hendrix, MD
• Crissanne Henein, PHARMD
• Amber Jade Henke

• Certified Registered Nurse Anesthetist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.