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

Gordon W Hendrickson, PA

Individual provider Physician Assistant · NPI 1538877071

Gordon W Hendrickson, PA is a Physician Assistant in Sheridan, Wyoming. Qualified in 2022, 4 years ago. Practices with Kirkpatrick Family Care, Ps, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington and Wyoming.

Years since qualifying
4
Licensed in
WA, WY
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

528 Coffeen Ave
Sheridan, WY 82801-5312
Phone: (307) 683-7138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1706 Washington Way, Longview, WA 98632-2952 — (604) 239-5803

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1447 (WY)
Physician Assistant Taxonomy 363A00000X · Licence PA61369633 (WA)

Record details

NPI number1538877071
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address528 Coffeen Ave, Sheridan, WY 82801-5312

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kirkpatrick Family Care, Ps — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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