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Active NPI 1487892964 Individual Practitioner Female Practitioner

Emily Elizabeth Hendrickson , CPNP

Nurse Practitioner - Pediatrics • Beavercreek, OH

Professional Overview & Biography Verified Profile Summary

Emily Hendrickson, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Beavercreek, OH. Practice services are available at 3140 DAYTON XENIA ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3140 Dayton Xenia Road
Suite C

Beavercreek, OH 45434

Telephone 9373201950
Fax 9373209332
Associated Practice Facility / Clinic
🏢 Samaritan Family Care, Inc Facility NPI 1477932036

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Beavercreek, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Beavercreek, OH (1102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.10256

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0326400 (OH)

Secondary Practice Locations

4475 Far Hills Ave

Kettering, OH 454292405

Phone: 9376413141

792 Northwoods Blvd

Vandalia, OH 453779462

Phone: 9376414236

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376413400

860 Valley St.

Dayton, OH 45404

Phone: 9376413050

6044 Wilmington Pike

Dayton, OH 454597006

Phone: 9376413270

1 Childrens Plz

Dayton, OH 454041815

Phone: 9376413600

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

662 N Main St

Springboro, OH 450669553

Phone: 9376415066

7787 Cox Ln

West Chester, OH 450696549

Phone: 5136448081

1711 Germantown Pike

Dayton, OH 45417

Phone: 9376413142

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Holli Kroger , FNP

Nurse Practitioner - Family

NPI 1003685694

Family Nurse Practitioner

Sara Diskin

Pediatrics

NPI 1023464369
NPI 1033288220

Doctor of Medicine (M.D.)

NPI 1437736477

Doctor of Medicine (M.D.)

NPI 1760568984

Doctor of Osteopathic Medicine (D.O.)

Ashley Roberts , APRN-CNP

Nurse Practitioner - Family

NPI 1811602436

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2026

Nurse Practitioner (License #APRN.CNP.10256 in OH)

📍
Updated Business Mailing Address October 18, 2021

Registered at 9000 N MAIN ST, ENGLEWOOD, OH 454151180 (Tel: 9378327337)

📍
Updated Practice Location May 29, 2018

Registered at 3140 DAYTON XENIA ROAD, SUITE C, BEAVERCREEK, OH 45434 (Tel: 9373201950)

📍
Updated Business Mailing Address May 29, 2018

Registered at 9000 NORTH MAIN STREET, SUITE 332, ENGLEWOOD, OH 45415 (Tel: 9378327337)

NPI Profile Active January 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2009

Registered at 1483 W MAIN ST, TIPP CITY, OH 453712803 (Tel: 9376677711)

📍
Updated Business Mailing Address January 22, 2009

Registered at 1483 W MAIN ST, TIPP CITY, OH 453712803 (Tel: 9376677711)

👤
Provider Name / Credentials Updated January 22, 2009

Recorded as EMILY HENDRICKSON, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2009

Nurse Practitioner (License #NP-10256 in OH)

🟢
Initial NPI Registration & Enumeration January 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487892964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2009
Last Update: May 28, 2026
Sole Proprietor: No

Mailing Address

9000 N Main St

Englewood, OH 454151180

Phone: 9378327337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.