KELLY HENDERSON (NP) – Adult Health Nurse Practitioner, NPI 1598374233

KELLY HENDERSON (NP) is a healthcare provider. based in Auburn, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-081348 (AL). The NPI Number for KELLY HENDERSON (NP) is 1598374233

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLY HENDERSON (NP)
NPI
1598374233
Phone
(334) 826-7220
Address
1719 CATHERINE CT
Enumeration Date
29 July 2020
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3348212708
Graduation Year
2020 (6 years ago)
PAC ID
7113331703
Group Practice PAC ID
7214089432
Professional Enrollment ID
I20210121002255
Address ID
AL368301811AU1171XDRXX302

Contacts

Main Contact
www.medconnect.com
Main Contact
Auburn
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KELLY HENDERSON (NP)

  • 1719 CATHERINE CT

    AUBURN, AL 368305789

    Phone: (334) 826-7220

    Type: Location

  • 1624 LEE ROAD 42

    OPELIKA, AL 368048918

    Phone: (334) 170-3569

    Type: Mailing

  • 1518 PROFESSIONAL PKWY

    AUBURN, AL 368302857

    Phone: (334) 321-0060

    Fax: (334) 321-0063

    Type: Mailing

  • 2375 CHAMPIONS BLVD

    AUBURN, AL 368306471

    Phone: (334) 321-3700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $625.

Total Amount is formed as General ($625) + Research ($0) + Ownership ($0) = $625.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($256).

Total Amount

$625

General + Research + Ownership

Payments

16

Total payment records

General Amount

$625

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-21

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
I20210121002255INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes269184$0
99204New patient office or other outpatient visit, 45-59 minutes4848$0
99214Established patient office or other outpatient visit, 30-39 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 36830)

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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: 7214089432View full group profile

Reviews

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Frequently asked questions

How is KELLY HENDERSON (NP) identified in CMS data?
CMS-hosted NPPES data lists KELLY HENDERSON (NP) with NPI 1598374233.
Does CMS list KELLY HENDERSON (NP) as active?
Yes — KELLY HENDERSON (NP) is active in the NPI listing used on this page.
What is KELLY HENDERSON (NP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for KELLY HENDERSON (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY HENDERSON (NP)?
KELLY HENDERSON (NP)'s geographic hint is Auburn, Alabama in our summary view.
Is the information about KELLY HENDERSON (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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