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Mikenzie Hendricks , PA-C

Physician Assistant β€’ Kamas, UT

Active NPI 1255197018 Individual Practitioner Female Practitioner
Practice location in NPPES

228 W 200 S
Kamas, UT 840369010

Call 4357834385 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

228 W 200 S

Kamas, UT 840369010

Telephone 4357834385
Organization at the Same NPPES Address or Phone
Gateway Dentistry-Accelerate Llc Facility NPI 1255740734

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

30-day fills

12 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$88 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $100.23 across 5 records.

By nature of payment

  • Food and Beverage: $100.23 across 5 records.

Reporting-company totals (3 largest of 5)

  • Novo Nordisk Inc: $25.25 across 1 record.
  • Astellas Pharma US Inc: $23.79 across 1 record.
  • AstraZeneca Pharmaceuticals LP: $21.65 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2024

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

Enrolled in Medicare (PECOS)

Mikenzie Hendricks has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mikenzie Hendricks as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kamas and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: 258. Middle half: 71 to 842.

Too few clinicians listed under Physician Assistant in Kamas have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: $7,285. Middle half: $798 to $79,157.

Too few clinicians listed under Physician Assistant in Kamas have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Physician Assistant with a practice address in Kamas, UT (1,887 in Utah).

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

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $100.23.

Manufacturer Payment Nature Product Type Amount ($)
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $25.25
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $23.79
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $21.65
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $19.37
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $10.17

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 12 79 $88.37 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 13416827-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

License # reported to NPPES UT 13416827-1206

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240822002282

Enrollment State Jurisdiction

UT

PECOS Control ID

4284173246

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Troy Johnson

Family Medicine

NPI 1326789769
Sara Miller , FNP-C

Nurse Practitioner - Family

NPI 1336927441

Family Nurse Practitioner (Certified)

Jacob White

Physician Assistant

NPI 1841983384

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2026

Physician Assistant (license number reported to NPPES: UT 13416827-1206)

βœ…
NPI Profile Active February 27, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 27, 2024

Registered at 228 W 200 S, KAMAS, UT 840369010 (Tel: 4357834385)

πŸ“
Business Mailing Address (Initial Record) February 27, 2024

Registered at 948 W VAHE ST, DRAPER, UT 840208416 (Tel: 8018595939)

πŸ‘€
Provider Name / Credentials (Initial Record) February 27, 2024

Recorded as MIKENZIE HENDRICKS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Family Medicine (license number reported to NPPES: UT 13416827-1206)

🟒
Initial NPI Registration & Enumeration February 27, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255197018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2024
Last Update: March 27, 2026
Sole Proprietor: No

Mailing Address

948 W Vahe St

Draper, UT 840208416

Phone: 8018595939

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.