MRS. JESSICA KAY HENDERSON – Certified Registered Nurse Anesthetist, NPI 1841454055

MRS. JESSICA KAY HENDERSON is a healthcare provider. based in Bloomfield, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. D110959 (IA). The NPI Number for MRS. JESSICA KAY HENDERSON is 1841454055

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA KAY HENDERSON
NPI
1841454055
Phone
(641) 664-3602
Address
105 E LOCUST ST
Enumeration Date
16 July 2008
Last Update Date
6 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192933171
Graduation Year
2009 (17 years ago)
PAC ID
7911056304
Group Practice PAC ID
7214829530
Professional Enrollment ID
I20090513000616
Address ID
IA525651164KE304XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

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Provider Addresses for MRS. JESSICA KAY HENDERSON

  • 105, East Locust Street, Bloomfield, Davis County, Iowa, 52537, United States

    BLOOMFIELD, IA 525371458

    Phone: (641) 664-3602

    Fax: (641) 664-3765

    Type: Location

  • ANDARA Gallery, 54, Wilson Road, Bloomfield, Prince Edward County, Central Ontario, Ontario, K0K 1G0, Canada

    BLOOMFIELD, IA 525370054

    Phone: (641) 664-3602

    Fax: (641) 664-3765

    Type: Mailing

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: 2009-05-13

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
I20090513000616ICertified Registered Nurse Anesthetist (Crna)IATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1818$0
00812Anesthesia for exam of colon using an endoscope1313$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 52537)

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Provider's Procedures

MRS. JESSICA KAY HENDERSON performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIA00142Anesthesia for lens surgery1515

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: 7214829530View full group profile
NameSpecialtyState
Physician AssistantIA
Physician AssistantIA
Interventional CardiologyIL
Physician AssistantMO
D E R M A T O L O G YMN
Physician AssistantIA
Nurse PractitionerIA
Pulmonary Disease, Sleep Medicine, Sleep Medicine, Critical Care (Intensivists)MO
Family PracticeMO
Nurse PractitionerIA

Reviews

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Frequently asked questions

Is MRS. JESSICA KAY HENDERSON listed with a National Provider Identifier?
Yes — MRS. JESSICA KAY HENDERSON has NPI 1841454055 on file in the registry.
Would MRS. JESSICA KAY HENDERSON appear as active to a payer?
You can treat MRS. JESSICA KAY HENDERSON as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. JESSICA KAY HENDERSON?
MRS. JESSICA KAY HENDERSON's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. JESSICA KAY HENDERSON?
Directory geography for MRS. JESSICA KAY HENDERSON centers on Bloomfield, Iowa.
When was this NPI issued?
Enumeration for MRS. JESSICA KAY HENDERSON is noted as July 16, 2008 where the registry provides it.

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