DR. ERNEST A. KENDRICK (M.D.) – Psychiatry Physician, NPI 1124012067
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21 NEUROPSYCHIATRY in MN
Provider Addresses for DR. ERNEST A. KENDRICK (M.D.)
520 Osborne Rd NE Ste 210
Fridley, MN 554322718
Phone: (763) 236-3800
Fax: (763) 236-3821
Type: Location
Murphy Road, Missouri City, Fort Bend County, Texas, 77477, United States
STE 306
MISSOURI CITY, TX 774591564
Phone: (281) 242-5814
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20100210000600 | I | Psychiatry | TX | TBD |
| I20211007000519 | I | Psychiatry | MI | TBD |
| I20220620001107 | I | Psychiatry | AZ | TBD |
| I20250108002161 | I | Psychiatry | NM | TBD |
| I20250814001965 | I | Psychiatry | NY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 27 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 13 | $0 |
Insurance plans in this area (ZIP 55432)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | IN | |
| Physician Assistant | SC | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | MO | |
| Physician Assistant | SC | |
| Physician Assistant | TX | |
| Nurse Practitioner | FL |
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