Johanna Hendrickson, PA-C
NPI 1447416516ActiveIndividual· Physician Assistant· Heber City, UT
Physician Assistant (PA-C) with University of Texas Southwestern Medical Center at Dallas, practicing in Heber City, Utah. Mostly services rather than prescriptions: Medicare paid $694.29 for 12 patients in 2024, with only 26 Part D claims. Glaxosmithkline, LLC. reported $19.29 in payments in 2024, mostly food and beverage. Lists Ut of Texas Southwestern University Hospital - William P. Clements Jr. as a hospital affiliation.
Overview
| NPI | 1447416516 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 29, 2008 |
| Last updated in NPPES | Aug 12, 2021 |
| Certified by provider | Aug 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5317663-1206 | UT |
| Physician Assistant, Surgical | 363AS0400X | — | — |
| Physician Assistant, Surgical | 363AS0400X | 0110007662 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX); Practitioner - Physician Assistant (UT); Practitioner - Physician Assistant (VA); Practitioner - Physician Assistant (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 17 across 11 procedure codes |
| Paid by Medicare | $694.29 |
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 41 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $221.13 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- University of Texas Southwestern Medical Center at DallasDallas, TX · 3,187 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2024$19.29 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $19.29 | 1 |
What the 2024 payments were for
- Food and Beverage$19.29 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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