MR. JONATHAN CLEON HENDRICKS (PA-C) – Physician Assistant, NPI 1033185699

MR. JONATHAN CLEON HENDRICKS (PA-C) is a healthcare provider. based in Cape coral, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9101920 (FL). The NPI Number for MR. JONATHAN CLEON HENDRICKS (PA-C) is 1033185699

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. JONATHAN CLEON HENDRICKS (PA-C)
NPI
1033185699
Phone
(239) 424-3513
Address
P.O. BOX 151368
Enumeration Date
24 February 2006
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607889373
Graduation Year
1996 (30 years ago)
PAC ID
2567411200
Group Practice PAC ID
9537073960
Professional Enrollment ID
I20190320002040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JONATHAN CLEON HENDRICKS (PA-C)

  • P.O. BOX 151368

    CAPE CORAL EMERGENCY PHYSICIANS

    CAPE CORAL, FL 339151368

    Phone: (239) 424-3513

    Fax: (239) 424-4039

    Type: Mailing

  • Cape Coral Hospital, 636, Del Prado Boulevard South, Cape Coral, Lee County, Florida, 33990, United States

    CAPE CORAL, FL 339902695

    Phone: (239) 424-2222

    Type: Location

  • 4131 MATIA DR

    FERNDALE, WA 982489539

    Phone: (523) 561-2513

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Alkermes, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190320002040IPhysician AssistantWATBD
I20241128000028IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6363$0
99284Emergency department visit with moderate level of medical decision making3838$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2222$0
View full utilization report →

Insurance plans in this area (ZIP 33915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537073960View full group profile
NameSpecialtyState
P O D I A T R YWA
Gynecological OncologyWA
Nurse PractitionerWA
Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear MedicineMA
-TX
-WA
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)WA
Medical Oncology, Hematology, Internal MedicineMS
Registered Dietitian Or Nutrition ProfessionalWA
-WA

Reviews

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Frequently asked questions

What identifier follows MR. JONATHAN CLEON HENDRICKS (PA-C) across health systems?
The NPI 1033185699 uniquely identifies MR. JONATHAN CLEON HENDRICKS (PA-C) in U.S. healthcare data.
Is MR. JONATHAN CLEON HENDRICKS (PA-C)'s NPI status active today?
Active status means MR. JONATHAN CLEON HENDRICKS (PA-C)'s NPI record is not deactivated in the public file.
What services align with MR. JONATHAN CLEON HENDRICKS (PA-C)'s listing?
MR. JONATHAN CLEON HENDRICKS (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JONATHAN CLEON HENDRICKS (PA-C)?
MR. JONATHAN CLEON HENDRICKS (PA-C) shows a connection to Cape Coral, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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