JEREMY ROBERT HENDRICKSON (APRN) – Acute Care Nurse Practitioner, NPI 1396379525
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for JEREMY ROBERT HENDRICKSON (APRN)
16017 BROWNE ST
OMAHA, NE 681163246
Phone: (903) 245-1796
Type: Mailing
7261 MERCY RD
OMAHA, NE 681242311
Phone: (402) 717-3570
Type: Location
2700 E 29TH ST STE 260
BRYAN, TX 778022587
Phone: (979) 821-6300
Fax: (979) 823-4545
Type: Mailing
1025 College Ave
Fort Worth, TX 761043013
Phone: (817) 810-9810
Fax: (817) 810-9815
Type: Location
3410 Worth St Ste 780&790
Dallas, TX 752462003
Phone: (214) 716-0662
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $276.
Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: EMD Serono, Inc. ($86).
Total Amount
$276
General + Research + Ownership
Payments
12
Total payment records
General Amount
$276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EMD Serono, Inc. | $86 |
| Napo Pharmaceuticals Inc | $46 |
| Insmed, Inc. | $38 |
| Merck Sharp & Dohme LLC | $33 |
| AIMMUNE THERAPEUTICS, INC. | $32 |
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: 2020-10-21
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 |
|---|---|---|---|---|
| I20201021001787 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | TX | |
| Infectious Disease, Internal Medicine | MN | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Infectious Disease | TX | |
| Infectious Disease, Internal Medicine | TX | |
| Infectious Disease, Internal Medicine | TX | |
| Infectious Disease | CA | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX |
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