CHRISTINE NATALIE RENEE HENRY (CRNP) – Nurse Practitioner, NPI 1962433474

CHRISTINE NATALIE RENEE HENRY (CRNP) is a healthcare provider. based in Loma linda, California. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. NP15809 (CA). The NPI Number for CHRISTINE NATALIE RENEE HENRY (CRNP) is 1962433474

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE NATALIE RENEE HENRY (CRNP)
NPI
1962433474
Phone
(909) 558-6641
Address
25333 BARTON RD
Enumeration Date
5 July 2006
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513532000
Graduation Year
2005 (21 years ago)
PAC ID
4981790003
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20071019000270
Address ID
CA925053043RI10800AVEX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for CHRISTINE NATALIE RENEE HENRY (CRNP)

  • Loma Linda University Medical Center East Campus, 25333, Barton Road, Loma Linda, San Bernardino County, California, 92354, United States

    LOMA LINDA, CA 923543123

    Phone: (909) 558-6641

    Type: Mailing

  • 10800 MAGNOLIA AVE

    RIVERSIDE, CA 925053043

    Phone: (951) 353-2000

    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: 2007-10-19

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
I20071019000270INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92354)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTINE NATALIE RENEE HENRY (CRNP)'s NPI?
Yes. CHRISTINE NATALIE RENEE HENRY (CRNP) is listed with NPI 1962433474 in the public NPI dataset.
Does the file indicate CHRISTINE NATALIE RENEE HENRY (CRNP) is practicing under active NPI?
Directory data currently reports CHRISTINE NATALIE RENEE HENRY (CRNP) as active.
What healthcare role does CHRISTINE NATALIE RENEE HENRY (CRNP) hold?
Scheduling teams often label CHRISTINE NATALIE RENEE HENRY (CRNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CHRISTINE NATALIE RENEE HENRY (CRNP) based?
CHRISTINE NATALIE RENEE HENRY (CRNP) is tied to Loma Linda, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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