BRIAN ROSS HENDRICKSON – Certified Registered Nurse Anesthetist, NPI 1053755504

BRIAN ROSS HENDRICKSON is a healthcare provider. based in Saint joseph, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 794593 (CA). The NPI Number for BRIAN ROSS HENDRICKSON is 1053755504

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN ROSS HENDRICKSON
NPI
1053755504
Phone
(816) 271-6350
Address
5325 Faraon St
Enumeration Date
26 April 2013
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162713500
Graduation Year
2010 (16 years ago)
PAC ID
3173750460
Group Practice PAC ID
6709772767
Professional Enrollment ID
I20131211001879
Address ID
MO645063488SA5325XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:13State licenses:5Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for BRIAN ROSS HENDRICKSON

  • 5325 Faraon St

    Saint Joseph, MO 645063488

    Phone: (816) 271-6350

    Type: Location

  • 8717 W 110TH ST

    SUITE 600

    OVERLAND PARK, KS 662102144

    Phone: (913) 428-2900

    Type: Mailing

  • 2316 E MEYER BLVD

    KANSAS CITY, MO 641321136

    Phone: (913) 428-2900

    Type: Location

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 $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$29
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: 2013-12-11

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
I20131211001879ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20131211001962ICertified Registered Nurse Anesthetist (Crna)KSTBD

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
00142Anesthesia for lens surgery6447$0
00140Anesthesia for other procedure on eye1513$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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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: 6709772767View full group profile
NameSpecialtyState
Nurse PractitionerIN
Certified Nurse Midwife (Cnm)KS
Cardiovascular Disease (Cardiology)MO
Certified Clinical Nurse Specialist (Cns)MO
Internal MedicineMO
A N E S T H E S I O L O G YMO
-MO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

Does BRIAN ROSS HENDRICKSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRIAN ROSS HENDRICKSON uses 1053755504.
Is BRIAN ROSS HENDRICKSON still practicing?
BRIAN ROSS HENDRICKSON is currently listed as active in the public NPI registry.
What is BRIAN ROSS HENDRICKSON best known for clinically?
Directory data describes BRIAN ROSS HENDRICKSON with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is BRIAN ROSS HENDRICKSON based?
BRIAN ROSS HENDRICKSON is tied to Saint Joseph, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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