MR. JONATHAN CLEON HENDRICKS (PA-C) – Physician Assistant, NPI 1033185699
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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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
| Company | Amount |
|---|---|
| Alkermes, Inc. | $23 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190320002040 | I | Physician Assistant | WA | TBD |
| I20241128000028 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 63 | 63 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 38 | 38 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 22 | 22 | $0 |
Insurance plans in this area (ZIP 33915)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WA | |
| Gynecological Oncology | WA | |
| Nurse Practitioner | WA | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear Medicine | MA | |
| - | TX | |
| - | WA | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | WA | |
| Medical Oncology, Hematology, Internal Medicine | MS | |
| Registered Dietitian Or Nutrition Professional | WA | |
| - | WA |
Reviews
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