LAURA HENDERSON – Family Nurse Practitioner, NPI 1114574795

LAURA HENDERSON is a healthcare provider. based in Gadsden, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-143656 (AL). The NPI Number for LAURA HENDERSON is 1114574795

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LAURA HENDERSON
NPI
1114574795
Phone
Not provided
Address
239 RIDGEWAY AVE
Enumeration Date
20 August 2019
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565435200
Graduation Year
2018 (8 years ago)
PAC ID
8123451770
Group Practice PAC ID
4082868641
Professional Enrollment ID
I20191212000835
Address ID
AL359015304GA600XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for LAURA HENDERSON

  • 239, Ridgeway Avenue, Clubview Heights, Gadsden, Etowah County, Alabama, 35901, United States

    GADSDEN, AL 359015462

    Phone:

    Type: Mailing

  • UAB Hospital Highlands, 1201, 11th Avenue South, Cullom Street-Twelfth Street South Historic District, Cullom Place, Birmingham, Jefferson County, Alabama, 35205, United States

    BIRMINGHAM, AL 352053423

    Phone: (205) 930-7050

    Type: Location

  • 1717 6TH AVE S

    BIRMINGHAM, AL 352331801

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191212000835INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making109105$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7975$0
99284Emergency department visit with moderate level of medical decision making5958$0
99291Critical care, first 30-74 minutes4645$0
View full utilization report →

Insurance plans in this area (ZIP 35901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082868641View full group profile
NameSpecialtyState
Emergency MedicineFL
Nurse PractitionerAL
Emergency MedicineMI
Nurse PractitionerAL
Family PracticePA
Emergency MedicineGA
Nurse PractitionerAL
Emergency MedicineAR
Nurse PractitionerAL
Emergency Medicine, Internal MedicineAL

Reviews

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Frequently asked questions

How do I look up LAURA HENDERSON by NPI?
Use NPI 1114574795 when you need to reference LAURA HENDERSON in forms, claims, or directories.
Is LAURA HENDERSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LAURA HENDERSON list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for LAURA HENDERSON. Clinical services aligned with this taxonomy classification.
Where is LAURA HENDERSON's primary listing?
We display Gadsden, Alabama because that is what the record indicates for LAURA HENDERSON.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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