Gwendolyn M Hendricks

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP134123 Issued in TX

Practice address

221 Hunters VLG Ste B
New Braunfels, TX 78132-4899

Phone

(830) 359-3399

Fax

(855) 308-0364

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

91.89 of 100Reported as apm

Quality

78.84

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwendolyn.hendricks.1@19704.direct.athenahealth.com

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.

• David P Ellent PLLC

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  • NPI 1245777440

  Multi-Specialty

  Medicare reassignment NPD
• David P Ellent PLLC

  • Clinical Medical Laboratory
  • Kingwood, TX
  • NPI 1891348959
  NPD
• Pak Medical Group, PLLC

  • Internal Medicine Physician
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  • NPI 1992297816

  Multi-Specialty

  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1891225934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300",
            "fax_number": "855-308-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HUNTERS VLG STE B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324899",
            "telephone_number": "830-359-3399",
            "fax_number": "855-308-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "GWENDOLYN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christelle Heiman, SLPA
• Kurt Hein, TX.L.AC.
• Robert Allen Heinrich, D.D.S.
• Jennifer C Heisey, PT
• Robert Henderson Jr.
• Brooke Hendrickson, DPT
• Theresa Lynne Hennig, RDN
• Dallas Marie Henson, RN
• Sandra Herman
• Ashli Hernandez-Pena

• Nurse Practitioner in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.