Ross Stuart Hendricks, C.R.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-132974 Issued in AL

Practice address

5346 Stadium Trace Pkwy
Ste 100
Hoover, AL 35244-4583

Phone

(205) 682-8022

Fax

(205) 682-9446

NPI assigned

Aug 19, 2015

Sex

Male

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 AL

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Dermatology and Aesthetics, PCGroup PAC ID 5092966747, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.3 of 100Reported as group

Quality

98.6

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, 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 and National Provider Directory roles.

• Pure Dermatology & Aesthetics, PC

  • Dermatology Physician
  • Hoover, AL
  • NPI 1104176700
  Medicare reassignment Care Compare group NPD
• Stacy J Haynes MD PC

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1437289865
  Medicare reassignment NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1902272339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHLAND AVE S",
            "address_2": "STE 350",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054009",
            "telephone_number": "205-558-2517",
            "fax_number": "205-558-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 STADIUM TRACE PKWY",
            "address_2": "STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444583",
            "telephone_number": "205-682-8022",
            "fax_number": "205-682-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "ROSS",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-132974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Hedgepath
• Steven Bruce Hefter, MD
• Jay Heisler, PH.D.
• Helena Family Podiatry, PC (Hoover Foot Center)
• Holton Seth Helms, PHARMD
• Jessica Hendrix, LPC, NCC
• Emily Henneberg, PT
• Leigh Ann Henneke, LPC
• Alyssa Henry
• Carlie Henry, PT

• Adult Health Nurse Practitioner in Hoover, AL
• Providers in Hoover, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.