Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nyle Allan Hendrickson, MD

Individual provider Surgery Physician · NPI 1720384191

Dr. Nyle Allan Hendrickson, MD is a Colorectal Surgery (Proctology) in Bellevue, Washington. Graduated from University of Arizona College of Medicine in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Trained at
University of Arizona College of Medicine
Licensed in
WA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11511 NE 10th St
Bellevue, WA 98004-8578
Phone: (425) 502-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ML20009117 (WA)

Record details

NPI number1720384191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2011
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing address11511 Ne 10th St, Bellevue, WA 98004-8578

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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