ADAM JORDAN HENSON – Family Medicine Physician, NPI 1154684975

ADAM JORDAN HENSON is a healthcare provider. based in Du quoin, Illinois. specializing in FAMILY PRACTICE. They hold a License No. 036137639 (IL). The NPI Number for ADAM JORDAN HENSON is 1154684975

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ADAM JORDAN HENSON
NPI
1154684975
Phone
(618) 542-2146
Address
900 N Washington St
Enumeration Date
18 June 2012
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
6189972248
Graduation Year
2012 (14 years ago)
PAC ID
4385860493
Group Practice PAC ID
5092187021
Professional Enrollment ID
I20150721002147
Address ID
IL629596394MA3411XDRXX400

Contacts

Secure Messaging
ahenson14004@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for ADAM JORDAN HENSON

  • 900 N Washington St

    Du Quoin, IL 628321233

    Phone: (618) 542-2146

    Type: Location

  • 502 W Saint Louis St Ste 4

    West Frankfort, IL 628961968

    Phone: (618) 937-3400

    Fax: (618) 997-9324

    Type: Location

  • PO BOX 1105

    INDIANAPOLIS, IN 462061105

    Phone: (618) 457-5200

    Fax: (618) 529-0568

    Type: Mailing

  • 502 W SAINT LOUIS ST

    SUITE 4

    WEST FRANKFORT, IL 628961968

    Phone: (618) 937-3400

    Fax: (618) 937-3407

    Type: Location

  • 900 N WASHINGTON ST

    DU QUOIN, IL 628321233

    Phone: (618) 790-7401

    Type: Mailing

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 502 W SAINT LOUIS ST STE 4

    WEST FRANKFORT, IL 628961968

    Phone: (618) 937-3400

    Fax: (618) 997-9324

    Type: Location

  • 916 N WASHINGTON STREET

    DU QUOIN, IL 62832

    Phone: (618) 790-7401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $963.

Total Amount is formed as General ($963) + Research ($0) + Ownership ($0) = $963.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Novo Nordisk Inc ($218).

Total Amount

$963

General + Research + Ownership

Payments

57

Total payment records

General Amount

$963

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2015-07-21

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
I20150721002147IFamily PracticeILTBD

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 62832)

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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: 5092187021View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Physician AssistantIL
Physician AssistantIL
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify ADAM JORDAN HENSON for billing?
Administrative and clinical systems typically use NPI 1154684975 for ADAM JORDAN HENSON.
Is ADAM JORDAN HENSON currently accepting referrals based on NPI status?
Registry metadata lists ADAM JORDAN HENSON as active.
What type of care does ADAM JORDAN HENSON provide?
ADAM JORDAN HENSON's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ADAM JORDAN HENSON tied to Du Quoin, Illinois?
If you are local to Du Quoin, Illinois, ADAM JORDAN HENSON may be relevant to your search.
Who maintains ADAM JORDAN HENSON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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