KATHLEEN N HENDERSON (APRN) – Nurse Practitioner, NPI 1154810596

KATHLEEN N HENDERSON (APRN) is a healthcare provider. based in Tucson, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 260633 (AZ). The NPI Number for KATHLEEN N HENDERSON (APRN) is 1154810596

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN N HENDERSON (APRN)
NPI
1154810596
Phone
(520) 795-7750
Address
2450 E RIVER RD
Enumeration Date
1 May 2018
Last Update Date
14 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5207957750
Graduation Year
2019 (7 years ago)
PAC ID
7315297884
Group Practice PAC ID
5092709527
Professional Enrollment ID
I20210728000742
Address ID
AZ857186526TU2450XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for KATHLEEN N HENDERSON (APRN)

  • 2450 E RIVER RD

    TUCSON, AZ 857186526

    Phone: (520) 795-7750

    Fax: (520) 320-2155

    Type: Mailing

  • Stormont Vail Health, 1500, Southwest 10th Avenue, Topeka, Shawnee County, Kansas, 66604, United States

    TOPEKA, KS 666041301

    Phone: (785) 354-6000

    Fax: (785) 354-5114

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,535.

Total Amount is formed as General ($1,535) + Research ($0) + Ownership ($0) = $1,535.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: EMD Serono, Inc. ($324).

Total Amount

$1,535

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-07-28

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
I20210728000742INurse PractitionerAZTBD

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
99204New patient office or other outpatient visit, 45-59 minutes116116$0
99214Established patient office or other outpatient visit, 30-39 minutes10982$0
99213Established patient office or other outpatient visit, 20-29 minutes5045$0
99205New patient office or other outpatient visit, 60-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 85718)

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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: 5092709527View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantAZ
Qualified AudiologistAZ
Qualified AudiologistAZ
O T O L A R Y N G O L O G YAZ
Nurse PractitionerAZ
Neurology, Undefined Physician Type (Specify)AZ
N E U R O L O G YAZ
N E U R O S U R G E R YAZ
Qualified AudiologistAZ

Reviews

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Frequently asked questions

What is the registry number for KATHLEEN N HENDERSON (APRN)?
The registry entry for KATHLEEN N HENDERSON (APRN) shows NPI 1154810596.
Should I treat KATHLEEN N HENDERSON (APRN) as an active provider?
Patients and plans typically see KATHLEEN N HENDERSON (APRN) as active in the national extract.
What type of care does KATHLEEN N HENDERSON (APRN) provide?
KATHLEEN N HENDERSON (APRN)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KATHLEEN N HENDERSON (APRN) tied to Tucson, Arizona?
If you are local to Tucson, Arizona, KATHLEEN N HENDERSON (APRN) may be relevant to your search.
Who maintains KATHLEEN N HENDERSON (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.