LINDSAY MICHELLE HENDERSON – Family Nurse Practitioner, NPI 1649152430

LINDSAY MICHELLE HENDERSON is a healthcare provider. based in Glen carbon, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209032447 (IL). The NPI Number for LINDSAY MICHELLE HENDERSON is 1649152430

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
LINDSAY MICHELLE HENDERSON
NPI
1649152430
Phone
Not provided
Address
220 EVERGREEN LN
Enumeration Date
22 July 2025
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186550333
Graduation Year
2024 (2 years ago)
PAC ID
6204338148
Group Practice PAC ID
3375087836
Professional Enrollment ID
I20250909000619
Address ID
IL620341754GL220XXLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for LINDSAY MICHELLE HENDERSON

  • 220 EVERGREEN LN

    GLEN CARBON, IL 620341753

    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)

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: 2025-09-09

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
I20250909000619INurse PractitionerILTBD

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 62034)

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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: 3375087836View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
Nurse PractitionerIL
C H I R O P R A C T I CIL
Physician AssistantMO
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check LINDSAY MICHELLE HENDERSON using NPI 1649152430?
NPI 1649152430 belongs to LINDSAY MICHELLE HENDERSON; compare other details if you need extra assurance.
Is LINDSAY MICHELLE HENDERSON still an active registrant?
LINDSAY MICHELLE HENDERSON carries an active NPI according to the public dataset.
What area of care is associated with LINDSAY MICHELLE HENDERSON?
LINDSAY MICHELLE HENDERSON's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LINDSAY MICHELLE HENDERSON located near Glen Carbon?
LINDSAY MICHELLE HENDERSON currently maps to Glen Carbon, Illinois in this extract.
Can I trust this NPI listing for LINDSAY MICHELLE HENDERSON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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