Amelia Elizabeth Hendrickson, APRN-FNP-BC, WHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3005965 Issued in KY

Practice address

101 Prosperous PL Ste 350
Lexington, KY 40509-1891

Phone

(859) 654-0160

Fax

(859) 712-9273

NPI assigned

Mar 5, 2009

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Amelia Elizabeth Goins Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Cumberland Rheumatology PLLCGroup PAC ID 0446309058, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amelia.hendrickson.p1@direct.lcr.nextgenshare.com
• Direct secure messaging: ameliahendrickson@acl.allscriptsdirect.net

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.

• Lake Cumberland Rheumatology, PLLC

  • Rheumatology Physician
  • New Albany, IN
  • NPI 1619117058

  KY

  Medicare reassignment Care Compare group NPD
• Lake Cumberland Rheumatology, PLLC

  • Clinical Medical Laboratory
  • Somerset, KY
  • NPI 1225991177
  NPD
• Madison Primary Care, LLC

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1730473745
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc.

  dba Baptist Health

  • General Acute Care Hospital
  • Richmond, KY
  • NPI 1568452290
  Care Compare affiliation

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1235379074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091891",
            "telephone_number": "859-654-0160",
            "fax_number": "859-712-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091891",
            "telephone_number": "859-654-0160",
            "fax_number": "859-712-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "AMELIA",
        "middle_name": "ELIZABETH",
        "credential": "APRN-FNP-BC, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005965",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3005965",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "5965P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100066600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "GOINS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Don-Michael Hendricks, D.M.D.
• Halle Rhea Hendricks, CSW
• Megan M Hendricks
• Michael Paul Hendricks, MD
• Tivoli Hendricks, LPCC
• Cassaidy Hendrickson, APRN
• Michelle Ladanyi Hendrix, PA
• Regis Henke Scheffel, DDS
• Mary H Henkel, M.D.
• Paul Willard Henley Jr., MD

• Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.

Verify at the official NPI Registry.