Active NPI
Ellen Makenzie Hendrick
- Critical Care Medicine Registered Nurse
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 4704308343
- Practice address
- 25090 Woodward Ave Apt 209
Royal Oak, MI 48067-0984 - Phone
- (989) 751-3514
- NPI assigned
- Feb 28, 2024
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704308343 | MI | Primary |
Addresses
Primary practice location
25090 Woodward Ave Apt 209
Royal Oak, MI 48067-0984
Mailing address
25090 Woodward Ave Apt 209
Royal Oak, MI 48067-0984
Phone (989) 751-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251014003606 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143717041 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health Macomb Oakland Hospital
Practice addresses (Care Compare)
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704308343 | MI | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Current | Accepting new patients |
Locations
7924 Solutions Ctr Dr
Chicago, IL 60677
7920 Solutions Ctr Dr
Chicago, IL 60677
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
MI
-
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
MI
-
- Rehabilitation Hospital Unit
- Warren, MI
- NPI 1033180765
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- Psychiatric Hospital Unit
- Warren, MI
- NPI 1306816426
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1518124320
-
- Nurse Practitioner
- Warren, MI
- NPI 1578696092
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
-
- Social Worker
- Warren, MI
- NPI 1548609761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
Hospital
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1306602123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25090 WOODWARD AVE APT 209",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670984",
"telephone_number": "989-751-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25090 WOODWARD AVE APT 209",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670984",
"telephone_number": "989-751-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICK",
"first_name": "ELLEN",
"middle_name": "MAKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MI",
"license": "4704308343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.