MRS. ELAINE RUTH HENSON (ANP) – Adult Health Nurse Practitioner, NPI 1306847686
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. ELAINE RUTH HENSON (ANP)
Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States
WRIGHT BUILDING, SUITE 410
RANCHO MIRAGE, CA 922703221
Phone: (760) 779-9353
Type: Mailing
429 FORTH AVENUE
7 TH FLOOR
PITTSBURG, PA 15219
Phone: (888) 731-8994
Type: Location
445 S Figueroa St Fl 31
Los Angeles, CA 900711602
Phone: (888) 731-8994
Type: Location
4264 FEATHER AVE
SAN DIEGO, CA 921175531
Phone: (928) 208-0206
Type: Mailing
15333 N PIMA RD STE 305
SCOTTSDALE, AZ 852602717
Phone: (887) 318-9948
Type: Location
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: 2017-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170406001910 | I | Nurse Practitioner | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92270)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Family Practice | PA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| - | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine, Gastroenterology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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