GORDON W HENDRICKSON (PA) – Physician Assistant, NPI 1538877071

GORDON W HENDRICKSON (PA) is a healthcare provider. based in Longview, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA61369633 (WA). The NPI Number for GORDON W HENDRICKSON (PA) is 1538877071

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
GORDON W HENDRICKSON (PA)
NPI
1538877071
Phone
(360) 423-0390
Address
PO BOX 1338
Enumeration Date
14 November 2022
Last Update Date
14 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604239580
Graduation Year
2022 (4 years ago)
PAC ID
7618346420
Group Practice PAC ID
3375536436
Professional Enrollment ID
I20221216000722
Address ID
WA986322952LO1706XWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for GORDON W HENDRICKSON (PA)

  • PO BOX 1338

    LONGVIEW, WA 986327785

    Phone: (360) 423-0390

    Fax: (360) 577-3865

    Type: Mailing

  • 1706 WASHINGTON WAY

    LONGVIEW, WA 986322952

    Phone: (604) 239-5803

    Fax: (360) 423-6230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 201 Open Payments records for all available years, with a total value of $4,017.

Total Amount is formed as General ($4,017) + Research ($0) + Ownership ($0) = $4,017.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($466).

Total Amount

$4,017

General + Research + Ownership

Payments

201

Total payment records

General Amount

$4,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2022-12-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221216000722IPhysician AssistantWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9686$0
36415Insertion of needle into vein for collection of blood sample2424$0
80053Blood test, comprehensive group of blood chemicals1717$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1616$0
82607Cyanocobalamin (vitamin b-12) level1515$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 3375536436View full group profile
NameSpecialtyState
Physician AssistantWA
Registered Dietitian Or Nutrition ProfessionalWA
-WA
Physician AssistantCO
Family PracticeWA
Internal Medicine, Cardiovascular Disease (Cardiology)AZ
-TN
-WA
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

Can I verify GORDON W HENDRICKSON (PA) with an NPI only?
You can start verification with NPI 1538877071 for GORDON W HENDRICKSON (PA), then check state licensing separately.
Can I rely on GORDON W HENDRICKSON (PA) being an active provider?
As of the registry snapshot, GORDON W HENDRICKSON (PA) is marked active.
What is GORDON W HENDRICKSON (PA)'s specialty?
The listing groups GORDON W HENDRICKSON (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect GORDON W HENDRICKSON (PA) on a map?
Expect Longview, Washington as a primary anchor for GORDON W HENDRICKSON (PA) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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