Stephanie Lee Hendricks, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ACTIVE Issued in ND

Practice address

3989 4TH St E Ste 2
West Fargo, ND 58078-2865

Phone

(701) 532-1215

Fax

(701) 532-0496

NPI assigned

Sep 9, 2021

Last updated

Nov 19, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Stephanie Hendricks, PLLC

  • Family Nurse Practitioner
  • Fargo, ND
  • NPI 1316668544
  Medicare reassignment NPD Authorized official
• Pinnacle Health Care, PLLC

  • Pediatrics Physician
  • Fargo, ND
  • NPI 1356001879
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1891464277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 4TH ST E STE 2",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782865",
            "telephone_number": "701-532-1215",
            "fax_number": "701-532-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 4TH ST E STE 2",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782865",
            "telephone_number": "701-532-1215",
            "fax_number": "701-532-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "ACTIVE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Hearing Professionals PLLC
• Jodi L Hedstrom, MS CCC-SLP
• Kayla Heger, PT, DPT, ATC, LAT
• Holly J Hegstad, PHD
• Jeremy Michael Heidt, D.C.
• Chloe Henrickson
• Megan Henson
• Anna Hentges
• Brett Keith Hettenbaugh
• Wanda Denise Hettwer, OTR/L

• Family Nurse Practitioner in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.