KACEY HENDERSON (FNP) – Nurse Practitioner, NPI 1932726957

KACEY HENDERSON (FNP) is a healthcare provider. based in East bridgewater, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2272760 (MA). The NPI Number for KACEY HENDERSON (FNP) is 1932726957

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KACEY HENDERSON (FNP)
NPI
1932726957
Phone
(781) 878-1700
Address
1 DONALD'S WAY
Enumeration Date
26 June 2020
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089417100
Graduation Year
2020 (6 years ago)
PAC ID
1153736434
Group Practice PAC ID
5799228060
Professional Enrollment ID
I20210218001994
Address ID
MA023015674BR110XXSTXX302

Contacts

Other Endpoint
kaceyhenderson12@yahoo.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

8,972 NURSE PRACTITIONER in MA

Provider Addresses for KACEY HENDERSON (FNP)

  • 1 DONALD'S WAY

    EAST BRIDGEWATER, MA 02333

    Phone: (781) 878-1700

    Type: Location

  • 17 MURPHYS LN

    SCITUATE, MA 020663907

    Phone: (781) 264-5795

    Type: Mailing

  • 17 Murphys Ln

    Scituate, MA 020663907

    Phone: (781) 264-5795

    Type: Location

  • 130 QUINCY AVE

    BROCKTON, MA 023022803

    Phone: (508) 941-7268

    Fax: (508) 941-7850

    Type: Location

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: 2021-02-18

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
I20210218001994INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes209178$0
87804Detection test by immunoassay with direct visual observation for influenza virus14169$0
99213Established patient office or other outpatient visit, 20-29 minutes10793$0
71046X-ray of chest, 2 views8280$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus7876$0
View full utilization report →

Insurance plans in this area (ZIP 02333)

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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: 5799228060View full group profile
NameSpecialtyState
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What NPI should I save for KACEY HENDERSON (FNP)?
Save NPI 1932726957 if you need a stable reference for KACEY HENDERSON (FNP).
Is KACEY HENDERSON (FNP) active in the national directory?
KACEY HENDERSON (FNP)'s public NPI profile is in an active state.
Does KACEY HENDERSON (FNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KACEY HENDERSON (FNP). Clinical services aligned with this taxonomy classification.
Does KACEY HENDERSON (FNP) practice in Massachusetts?
You will see East Bridgewater, Massachusetts on file for KACEY HENDERSON (FNP) alongside any extra practice locations.
How can I contact KACEY HENDERSON (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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