Carmine Elise Hendricks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1337 Issued in VI

Practice address

514 Strand Street
Frederiksted, VI 00841

Phone

(340) 772-0260

NPI assigned

May 5, 2006

Last updated

May 26, 2016By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Hercare IncGroup PAC ID 1658593611, 2 clinicians

Frederiksted Health Care, Inc.Group PAC ID 7911818778, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gov Juan F Luis Hospital & Medical Ctr Hospital, St Croix, VI, CCN 480002

Merit-based Incentive Payment System (MIPS)

Final score

75.61 of 100Reported as group

Quality

47.85

Improvement activities

40

Cost

88.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmine.hendricks.1@20519.direct.athenahealth.com
• Direct secure messaging: carmine.williams.p1@direct.frederikstedhealthvi.nextgenshare.com

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.

• Hercare Inc

  • Obstetrics & Gynecology Physician
  • Frederiksted, VI
  • NPI 1578997292
  Medicare reassignment Care Compare group NPD
• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647
  Medicare reassignment NPD
• Prohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Christiansted, VI
  • NPI 1952936635
  Medicare reassignment NPD
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frederiksted, VI
  • NPI 1437215134
  Care Compare group NPD
• Governor Juan F. Luis Hospital & Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Croix, VI
  • NPI 1740238534
  NPD
• Caritas Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1174513204
  NPD (past)

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

• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1851349419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023700311",
            "telephone_number": "340-244-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 STRAND STREET",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "00841",
            "telephone_number": "340-772-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "CARMINE",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "209763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VI",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "J24169",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "454826",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederiksted Healthcare, Inc.
• Luis Alexander Frias Mendoza
• Erastus Aurelius Gardiner, MA.EDUC., MDIV.
• Government of US Virgin Islands Department of Finance
• Greater Changes LLC.
• Alice Victoria Henry, MPH, RD
• Vernonsha Henry
• Hercare Inc
• Edward Jacob
• Claudina Jones-Smith, RN

• Family Medicine Physician in Frederiksted, VI
• Providers in Frederiksted, VI by specialty
• Family Medicine Physician in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.