Individual provider Active NPI

Amy Lee Hendrix, N.P.

  • Nurse Practitioner
  • Reading, PA
National Provider Identifier
1336317346
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP009607 Issued in PA
Practice address
3317 Penn Ave
Reading, PA 19609
Phone
(610) 750-7891
Fax
(610) 750-7896
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009607 PA Primary
Registered Nurse 163W00000X SP009607 PA

Addresses

Primary practice location

3317 Penn Ave
Reading, PA 19609

Mailing address

3317 Penn Ave
Reading, PA 19609-1436
Phone (610) 750-7891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080213000093 PA Practitioner - Nurse Practitioner 1759462310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading Dermatology Associates PCGroup PAC ID 6901955442, 9 clinicians

Practice addresses (Care Compare)

3317 Penn Ave
West Lawn, PA 19609-1436
Phone (610) 644-8225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
94.86
Promoting interoperability
95
Improvement activities
40
Cost
79.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Dermatology Associates PC CurrentSince Apr 14, 2009 Accepting new patients
West Dermatology of Pennsylvania a Professional Medical Corporation Past Accepting new patients

Locations

3317 Penn Ave
West Lawn, PA 19609
Phone (610) 644-8225

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 6

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1336317346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 PENN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091436",
            "telephone_number": "610-750-7891",
            "fax_number": "610-750-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 PENN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "19609",
            "telephone_number": "610-750-7891",
            "fax_number": "610-750-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009607",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "SP009607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.