KYLA JEANNE HENDRICKS (PA) – Physician Assistant, NPI 1962587717
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for KYLA JEANNE HENDRICKS (PA)
Ralston Street, Winchester Homes, Ventura, Ventura County, California, 93009, United States
VENTURA, CA 930037844
Phone: (805) 804-4168
Fax: (805) 830-1177
Type: Mailing
137 E Thousand Oaks Blvd
Thousand Oaks, CA 913605707
Phone: (805) 379-4574
Fax: (805) 379-4324
Type: Location
1203 FLYNN RD UNIT 160
CAMARILLO, CA 930126203
Phone: (805) 804-4168
Fax: (805) 830-1177
Type: Mailing
2525, Erringer Road, Simi Valley, Ventura County, California, 93065, United States
SIMI VALLEY, CA 930652352
Phone: (805) 527-1404
Fax: (805) 527-5246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $212.
Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bioventus LLC ($98).
Total Amount
$212
General + Research + Ownership
Payments
9
Total payment records
General Amount
$212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $98 |
| Pacira Pharmaceuticals Incorporated | $88 |
| VERTEX PHARMACEUTICALS INCORPORATED | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050809001092 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 12,600 | 124 | $0 |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 3,616 | 45 | $0 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 2,034 | 148 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 721 | 477 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 430 | 271 | $0 |
Insurance plans in this area (ZIP 93003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Sports Medicine, Orthopedic Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA |
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