SHELLEY ELAINE HENDERSON (MSN, RN, APRN) – Family Nurse Practitioner, NPI 1215325105

SHELLEY ELAINE HENDERSON (MSN, RN, APRN) is a healthcare provider. based in Florence, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, APRN. They hold a License No. COA.17912-NP (OH). The NPI Number for SHELLEY ELAINE HENDERSON (MSN, RN, APRN) is 1215325105

Main info

Female
11 Years Of Experience
Name
SHELLEY ELAINE HENDERSON (MSN, RN, APRN)
NPI
1215325105
Phone
(855) 925-4733
Address
8193 MALL RD
Enumeration Date
31 December 2014
Last Update Date
21 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138539700
Graduation Year
2015 (11 years ago)
PAC ID
4385953306
Group Practice PAC ID
5799110953
Professional Enrollment ID
I20151014000859
Address ID
OH452122607CI4605XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for SHELLEY ELAINE HENDERSON (MSN, RN, APRN)

  • 8193 MALL RD

    FLORENCE, KY 41042

    Phone: (855) 925-4733

    Fax: (859) 525-0173

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($220).

Total Amount

$344

General + Research + Ownership

Payments

3

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2015-10-14

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
I20151014000859INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3535$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1111$0
View full utilization report →

Insurance plans in this area (ZIP 41042)

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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: 5799110953View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerOH
-PA
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is there an official ID for SHELLEY ELAINE HENDERSON (MSN, RN, APRN) in U.S. healthcare records?
The official identifier for SHELLEY ELAINE HENDERSON (MSN, RN, APRN) is NPI 1215325105.
Active or inactive — what applies to SHELLEY ELAINE HENDERSON (MSN, RN, APRN)?
You should see SHELLEY ELAINE HENDERSON (MSN, RN, APRN) as active in CMS-hosted NPPES data.
What area of care is associated with SHELLEY ELAINE HENDERSON (MSN, RN, APRN)?
SHELLEY ELAINE HENDERSON (MSN, RN, APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is SHELLEY ELAINE HENDERSON (MSN, RN, APRN) registered?
Use Florence, Kentucky as the headline location for SHELLEY ELAINE HENDERSON (MSN, RN, APRN) here.
Does SHELLEY ELAINE HENDERSON (MSN, RN, APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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