CRAIG HENRY – Psychiatric/Mental Health Nurse Practitioner, NPI 1215789714

CRAIG HENRY is a healthcare provider. based in Ocoee, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 671634 (FL). The NPI Number for CRAIG HENRY is 1215789714

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG HENRY
NPI
1215789714
Phone
Not provided
Address
3190 FARLAND DR
Enumeration Date
5 April 2024
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6892407945
Graduation Year
2023 (3 years ago)
PAC ID
9234579574
Group Practice PAC ID
7113301680
Professional Enrollment ID
I20240502003502
Address ID
FL347873835WI1223XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CRAIG HENRY

  • 3190 FARLAND DR

    OCOEE, FL 347614401

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2024-05-02

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
I20240502003502INurse PractitionerFLTBD

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 34761)

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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: 7113301680View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for CRAIG HENRY?
Save NPI 1215789714 if you need a stable reference for CRAIG HENRY.
Is CRAIG HENRY active in the national directory?
CRAIG HENRY's public NPI profile is in an active state.
Does CRAIG HENRY list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for CRAIG HENRY. Clinical services aligned with this taxonomy classification.
What location metadata exists for CRAIG HENRY?
The page summarizes Ocoee, Florida for CRAIG HENRY; expand the address list for detail.
Is CRAIG HENRY a real provider?
This page reflects official NPPES data for NPI 1215789714. Always confirm identity and privileges with the practice and licensing boards.

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