Christian Adam Kendrick, ARNP

Key facts

NPI

1205296407

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

APRN9320972 (FL)

Practice address

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400

Phone

(321) 636-7780

Fax

(321) 633-3043

NPI assigned

Mar 1, 2016

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• DRS Roberts & Bryan PA Dermatology Physician · Rockledge, FL · NPI 1346226404
  Medicare reassignment Care Compare group NPD FL
• Atlantis Urgent Care, LLC Urgent Care Clinic/Center · Indian Harbour Beach, FL · NPI 1821280579
  Medicare reassignment NPD FL
• Brevard Physician Associates, PLLC Anesthesiology Physician · Melbourne, FL · NPI 1598008955
  Medicare reassignment NPD FL · NURSE PRACTITIONER

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Roberts and Bryan PA (14 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100 (individual)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles (3 of 5)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 9, 2022.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1205296407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-636-7780",
            "fax_number": "321-633-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-636-7780",
            "fax_number": "321-633-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-725-4505",
            "fax_number": "321-951-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "CHRISTIAN",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2022-12-09",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9320972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100869800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JG234Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

• Bay Katz
• Alice Keene, LPC
• Rachel Kelly, APRN
• Regina Y Kelly, P.T.
• Brookelynn K Kendrick, NP-C
• Colin Frank Kennedy, PA-C
• Jillian Kennedy
• John C Kennedy, M.D.
• Renee Nicole Kennedy, DPT
• Kenneth W Korey MD PA

All providers in Rockledge, FL · Nurse Practitioner in Florida