Individual provider Active NPI

Donna J. Hendrickson, APN

  • Nurse Practitioner
  • Willingboro, NJ
National Provider Identifier
1205626231
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ1532800 Issued in NJ
Practice address
4390 Route 130 Ste a
Willingboro, NJ 08046-1065
Phone
(609) 773-8300
Fax
(844) 778-4260
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ1532800 NJ Primary

Addresses

Primary practice location

4390 Route 130 Ste a
Willingboro, NJ 08046-1065

Mailing address

17 Arthur Rd
Bridgewater, NJ 08807-1858
Phone (908) 635-0680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250806000184 NJ Practitioner - Nurse Practitioner 9133637580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4390 Route 130
Suite a
Willingboro, NJ 08046-1065
Phone (267) 781-7315

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ1532800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choice Hospice of New Jersey, LLC CurrentSince Jun 2, 2025 Accepting new patients
Life Choice Hospice of New Jersey, LLC Past Accepting new patients

Locations

4390 Route 130
Ste A
Willingboro, NJ 08046
Phone (267) 781-7315

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 2

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.

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1205626231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ARTHUR RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071858",
            "telephone_number": "908-635-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 ROUTE 130 STE A",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461065",
            "telephone_number": "609-773-8300",
            "fax_number": "844-778-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "DONNA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ1532800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.