HOLLY JO HENDERSON (MPT) – Family Nurse Practitioner, NPI 1710034954
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for HOLLY JO HENDERSON (MPT)
102, Prairie Mills Road, Golden, Adams County, Illinois, 62339, United States
GOLDEN, IL 623391055
Phone: (217) 696-4446
Type: Location
183, Saturn Drive, Hannibal, Marion County, Missouri, 63401, United States
HANNIBAL, MO 634012398
Phone: (573) 795-0849
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $2,303.
Total Amount is formed as General ($2,303) + Research ($0) + Ownership ($0) = $2,303.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($512).
Total Amount
$2,303
General + Research + Ownership
Payments
106
Total payment records
General Amount
$2,303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $512 |
| Otsuka America Pharmaceutical, Inc. | $318 |
| AstraZeneca Pharmaceuticals LP | $163 |
| Medtronic, Inc. | $139 |
| Novartis Pharmaceuticals Corporation | $113 |
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: 2020-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201021002982 | I | Nurse Practitioner | MO | TBD |
| I20201030000880 | I | Nurse Practitioner | IL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 29 | 25 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 26 | 25 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 26 | 25 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 18 | 18 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 17 | 17 | $0 |
Insurance plans in this area (ZIP 62339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | MI | |
| Radiation Oncology | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Pain Management, Anesthesiology | IL | |
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL |
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