Active NPI
Jillian Nicole Hendricks, PA-C
- Physician Assistant
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0012203
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 674-4700
- NPI assigned
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0012203 | DE | Primary |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
1224 Cedar Lane Rd
Middletown, DE 19709-9739
Phone (302) 304-1417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121000550 | DE | Practitioner - Physician Assistant | 9830681428 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-4700
640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408
Hospital & facility affiliations
- Bayhealth Medical Center, Kent Campus
- Bayhealth Hospital, Sussex Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012203 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Past | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
540 S Governors Ave
Ste 101A
Dover, DE 19904
Phone (302) 744-7980
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
101 Wellness Way
Ste 250
Milford, DE 19963
Phone (302) 744-6220
18383 Hudson Rd
Fl 2
Milton, DE 19968
Phone (302) 725-3499
18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499
Organizations & group practices 19
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.
-
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
- Cardiovascular Disease Physician
- Milford, DE
- NPI 1063938439
-
- Medical Oncology Physician
- Dover, DE
- NPI 1295292183
-
- Clinic Pharmacy
- Dover, DE
- NPI 1336420280
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1417473935
-
- Anatomic Pathology Physician
- Dover, DE
- NPI 1609333590
-
- Radiation Oncology Physician
- Dover, DE
- NPI 1841757739
-
- Medical Oncology Physician
- Milford, DE
- NPI 1104383041
-
- Clinic/Center
- Milford, DE
- NPI 1265422828
-
- Sleep Disorder Diagnostic Clinic/Center
- Dover, DE
- NPI 1326463167
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1184508384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 CEDAR LANE RD",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197099739",
"telephone_number": "302-304-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "JILLIAN",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.