ANN HENDERSON (CRNP) – Nurse Practitioner, NPI 1720054620

ANN HENDERSON (CRNP) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R128848 (MD). The NPI Number for ANN HENDERSON (CRNP) is 1720054620

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ANN HENDERSON (CRNP)
NPI
1720054620
Phone
(410) 328-3037
Address
PO BOX 64620
Enumeration Date
28 February 2006
Last Update Date
23 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108716400
Graduation Year
1999 (27 years ago)
PAC ID
3476648916
Group Practice PAC ID
5092987354
Professional Enrollment ID
I20070928000468
Address ID
MD211575647WE291XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

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Provider Addresses for ANN HENDERSON (CRNP)

  • PO BOX 64620

    BALTIMORE, MD 212644620

    Phone: (410) 328-3037

    Fax: (410) 328-3040

    Type: Mailing

  • Little Patuxent Specialty Care Center, 11065, Little Patuxent Parkway, Swansfield, Harper's Choice, Columbia, Howard County, Maryland, 21044, United States

    COLUMBIA, MD 210442998

    Phone: (410) 328-3037

    Fax: (410) 328-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 247 Open Payments records for all available years, with a total value of $6,735.

Total Amount is formed as General ($6,735) + Research ($0) + Ownership ($0) = $6,735.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($572).

Total Amount

$6,735

General + Research + Ownership

Payments

247

Total payment records

General Amount

$6,735

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2020-01-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070928000468INurse PractitionerMDTBD
I20200131000856INurse PractitionerDCTBD

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 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 21264)

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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: 5092987354View full group profile
NameSpecialtyState
Radiation OncologyMD
Nurse PractitionerMD
Radiation OncologyMD
H E M A T O L O G Y/ O N C O L O G YMD
H E M A T O L O G Y/ O N C O L O G YWV

Reviews

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Frequently asked questions

Does ANN HENDERSON (CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANN HENDERSON (CRNP) uses 1720054620.
Can I rely on ANN HENDERSON (CRNP) being an active provider?
As of the registry snapshot, ANN HENDERSON (CRNP) is marked active.
What is ANN HENDERSON (CRNP) best known for clinically?
Directory data describes ANN HENDERSON (CRNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does ANN HENDERSON (CRNP) serve?
ANN HENDERSON (CRNP)'s listing highlights Baltimore, Maryland; more addresses can appear in NPPES.
Why does ANN HENDERSON (CRNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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