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Jessica Hendrix , PA-C

Physician Assistant - Surgical β€’ Normal, IL

Active NPI 1386017853 Individual Practitioner Female Practitioner
Practice location in NPPES

1302 Franklin Ave Ste 2500
Normal, IL 61761

Call 3093683240 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1302 Franklin Ave Ste 2500

Normal, IL 61761

Telephone 3093683240
Fax 3092683245
Organization at the Same NPPES Address or Phone
Cardiothoracic & Vascular Surgical Associates S C Facility NPI 1780679407

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Normal and Illinois

4 active clinicians are listed under Physician Assistant - Surgical with a practice address in Normal, IL (599 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES IL 085-005908
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State License
085005908 (IL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 22, 2018

Registered at 1302 FRANKLIN AVE STE 2500, NORMAL, IL 61761 (Tel: 3093683240)

πŸ“
Updated Business Mailing Address June 22, 2018

Registered at 4400 W 95TH ST STE 308, OAK LAWN, IL 604532660 (Tel: 7083464040)

πŸ‘€
Provider Name / Credentials Updated June 22, 2018

Recorded as JESSICA HENDRIX, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Physician Assistant (license number reported to NPPES: IL 085-005908)

βœ…
NPI Profile Active August 04, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2016

Registered at 221 NE GLEN OAK AVE, W514, PEORIA, IL 616360001 (Tel: 3096725729)

πŸ“
Business Mailing Address (Initial Record) August 04, 2016

Registered at 4818 S LAKE CAMELOT DR, MAPLETON, IL 615479503 (Tel: 3096200671)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2016

Recorded as JESSICA BRAUN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Physician Assistant (license number reported to NPPES: IL 085.005908)

🟒
Initial NPI Registration & Enumeration November 05, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386017853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2015
Last Update: June 22, 2018
Sole Proprietor: Yes

Mailing Address

4400 W 95th St Ste 308

Oak Lawn, IL 604532660

Phone: 7083464040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.