Active NPI
Kendra Michelle Hetrick, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6611
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4220 - Phone
- (919) 966-7890
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 333760 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.17365NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 6611 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Mailing address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khetrick35399@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6611 | NC | MD | Professional Counselor |
| 333760 | OH | MD | Registered Nurse |
| COA.17365NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Anesthesiology | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
Interoperability endpoints
- khetrick35399@direct.unc.nchie.net
Organizations & group practices 25
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.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Novant Health Brunswick Medical Center CRNAS
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
dba Medical Park Professional Fee
- Specialist
- Winston Salem, NC
- NPI 1003867516
-
dba Professional Services of Presbyterian Matthews
- Specialist
- Matthews, NC
- NPI 1184782419
-
dba Professional Fees
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Nurse Anesthetist, Certified Registered
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
Nurse Anesthetist, Certified Registered
-
dba Professional Service of Thomasville Medical Center
- Specialist
- Thomasville, NC
- NPI 1033160205
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
dba Novant Health Ballantyne Outpatient Surgery
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1215061049
-
dba Novant Health Huntersville Outpatient Surgery
- Ambulatory Surgical Clinic/Center
- Huntersville, NC
- NPI 1063641801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
dba UNC Hospitals
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1912398637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-7890"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101240",
"country_code": "US",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HETRICK",
"first_name": "KENDRA",
"middle_name": "MICHELLE",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "333760",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.17365NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khetrick35399@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "101 Manning Dr",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275144220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.