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NPISignal

Individual Healthcare Provider

Jeremy Robert Hendrickson, APRN

NPI Record: ActiveNurse Practitioner — Acute Care
NPI1396379525
Bryan, Texas

Provider's NPPES record last updated: January 27, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1396379525
Primary Specialty
Nurse Practitioner — Acute Care
Practice Location
Bryan, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 10:35 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Acute Care

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LA2100X
  • Registered Nurse

    Nursing Service Providers

    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

    Taxonomy code 163W00000X
  • Registered Nurse

    Critical Care Medicine

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WC0200X
  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X

Provider-Reported License Information

Nurse Practitioner (Texas)
AP145332
Registered Nurse (California)
95155222
Registered Nurse (Nebraska)
91079
Registered Nurse (Texas)
844664
Nurse Practitioner (Iowa)
H158450
Nurse Practitioner (Nebraska)
113125
Nurse Practitioner (Texas)
AP145332
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2700 E 29th St Ste 260

Bryan, Texas 77802-2587

Phone: (979) 774-0012

Additional Practice Location

1025 College Ave

Fort Worth, Texas 76104-3013

Phone: (817) 810-9810

Fax: (817) 810-9815

Additional Practice Location

3410 Worth St Ste 780&790

Dallas, Texas 75246-2003

Phone: (214) 716-0662

Record Information

Enumeration Date
February 26, 2020
Provider's NPPES Record Last Updated
January 27, 2025
Certification Date
January 27, 2025
NPISignal NPPES Dataset
August 2026

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