DR. MARK HENSLEY (M.D.) – Obstetrics & Gynecology Physician, NPI 1609070630

DR. MARK HENSLEY (M.D.) is a healthcare provider. based in Quincy, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-19168 (HI). The NPI Number for DR. MARK HENSLEY (M.D.) is 1609070630

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK HENSLEY (M.D.)
NPI
1609070630
Phone
(217) 224-6423
Address
927 BROADWAY ST
Enumeration Date
13 June 2007
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082436000
Graduation Year
2006 (20 years ago)
PAC ID
5597951913
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20170927001780
Address ID
HI967932531WA80XXXSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for DR. MARK HENSLEY (M.D.)

  • 927, Broadway Street, Quincy, Adams County, Illinois, 62301, United States

    SUITE 220

    QUINCY, IL 623012719

    Phone: (217) 224-6423

    Type: Location

  • 80 MAHALANI ST

    WAILUKU, HI 967932531

    Phone: (808) 243-6000

    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: 2017-09-27

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
I20170927001780IObstetrics/GynecologyHITBD

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 62301)

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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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

How is DR. MARK HENSLEY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MARK HENSLEY (M.D.) with NPI 1609070630.
Can I rely on DR. MARK HENSLEY (M.D.) being an active provider?
As of the registry snapshot, DR. MARK HENSLEY (M.D.) is marked active.
What healthcare role does DR. MARK HENSLEY (M.D.) hold?
Scheduling teams often label DR. MARK HENSLEY (M.D.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MARK HENSLEY (M.D.)?
DR. MARK HENSLEY (M.D.)'s geographic hint is Quincy, Illinois in our summary view.
Why does DR. MARK HENSLEY (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.