Active NPI
Andrew Hendrix, CRNA
- Certified Registered Nurse Anesthetist
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901397
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 833-5000
- Fax
- (601) 883-5137
- NPI assigned
- May 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 885642 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 901397 | MS | Primary |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
105 Katherine Dr Ste G
Flowood, MS 39232-8857
Phone (601) 933-9521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AR, TX
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 885642 | MS | MD | Registered Nurse |
| 901397 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Ans Services of Arkansas PA | Current | Accepting new patients | |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Northstar Anesthesia of Mississippi, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Interoperability endpoints
- ahendrix219329@ummc.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1124415567
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Podiatrist
- Lubbock, TX
- NPI 1538239769
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1073960647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 KATHERINE DR STE G",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328857",
"telephone_number": "601-933-9521",
"fax_number": "334-395-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-833-5000",
"fax_number": "601-883-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "885642",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.