Colleen McNicholas-Hendrix, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP105255 Issued in TX

Practice address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Phone

(940) 745-0484

Fax

(940) 328-6260

NPI assigned

Aug 1, 2006

Last updated

Aug 11, 2020By 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 1

Other names 1

• Colleen Hendrix Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Gastroenterology Associates, PAGroup PAC ID 2264574649, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Denton Hospital, Denton, TX, CCN 450634

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Decatur, TX
  • NPI 1003049032
  Medicare reassignment Care Compare group NPD
• Palo Pinto County Hospital District

  dba Palo Pinto Mobile Clinic

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1376278366
  Medicare reassignment NPD
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076
  Medicare reassignment NPD
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital Pulmonology

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582
  NPD
• Palo Pinto County Hospital District

  dba Community Care Center

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1922056993

  Nurse Practitioner

  NPD
• Accupath Lab LLC

  • Dermatopathology (Pathology) Physician
  • Decatur, TX
  • NPI 1609506575
  NPD (past)
• Dallas Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1457301756
  NPD (past)
• Emcare GLT Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Garland, TX
  • NPI 1003866203
  NPD (past)
• Lamar Emergency Group PA

  • Emergency Medicine Physician
  • Paris, TX
  • NPI 1346353372
  NPD (past)
• Palo Pinto County Hospital District

  dba Mineral Wells Family Health

  • Rural Health Clinic/Center
  • Mineral Wells, TX
  • NPI 1184609265
  NPD (past)
• Palo Pinto County Hospital District

  dba Community Care Center

  • Rural Health Clinic/Center
  • Mineral Wells, TX
  • NPI 1689659765
  NPD (past)
• Texas Em-I Medical Services, P.a.

  • Emergency Medicine Physician
  • Garland, TX
  • NPI 1669430617
  NPD (past)

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

• Columbia Medical Center of Denton Subsidiary LP

  dba Medical City Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1871500223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-745-0484",
            "fax_number": "940-328-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-745-0484",
            "fax_number": "940-328-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLAS-HENDRIX",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP105255",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "251206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147183106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HENDRIX",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sara Masterson, LCSW
• Mathis T. Adams M.D.,P.a.
• Kayme McIntosh, APRN, AGNP-C
• Jeffery W McKamey, CRNA
• Tyler Brandon McLemore, OD
• Meals on Wheels of Palo Pinto County, Inc.
• Med Pavilion PC
• Mary Kwaa Mens, RN, FNP-C
• Sarah Merritt, DC
• Mineral Wells Eye Center PLLC

• Nurse Practitioner in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.