Individual provider Active NPI

Nicole Anne Hendrix, FNP

  • Family Nurse Practitioner
  • Milo, MO
National Provider Identifier
1063309250
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025022337 Issued in MO
Practice address
23142 S 2525 Rd
Milo, MO 64767-7622
Phone
(620) 224-6215
NPI assigned
Jun 20, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025022337 MO Primary

Addresses

Primary practice location

23142 S 2525 Rd
Milo, MO 64767-7622

Mailing address

23142 S 2525 Rd
Milo, MO 64767-7622
Phone (620) 224-6215

Other names 1

  • Nicole Anne Cutler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905000464 MO Practitioner - Nurse Practitioner 4082116488 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 782-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Oct 27, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 27, 2025 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Oct 1, 2025 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Oct 1, 2025 Accepting new patients
Nevada City Hospital CurrentSince Jan 12, 2026 Accepting new patients
Nevada City Hospital CurrentSince Jan 12, 2026 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

1504 N Business 49
#A
Neosho, MO 64850
Phone (417) 346-1201

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1063309250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23142 S 2525 RD",
            "city": "MILO",
            "state": "MO",
            "postal_code": "647677622",
            "telephone_number": "620-224-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23142 S 2525 RD",
            "city": "MILO",
            "state": "MO",
            "postal_code": "647677622",
            "telephone_number": "620-224-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025022337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CUTLER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milo, MO

Sources for this page

Verify at the official NPI Registry.