KEITH D HENRY (MD) – Emergency Medicine Physician, NPI 1417922089
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,171 EMERGENCY MEDICINE in MN
Provider Addresses for KEITH D HENRY (MD)
927 Churchill St W
Stillwater, MN 550826605
Phone: (651) 439-5330
Type: Location
405 Stageline Rd
Hudson, WI 540167848
Phone: (715) 531-6000
Type: Location
265 Griffin St E
Amery, WI 540011439
Phone: (715) 268-8000
Type: Location
535 Hospital Rd
New Richmond, WI 540171449
Phone: (715) 243-2600
Type: Location
34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
MC21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-7172
Fax: (952) 883-5395
Type: Mailing
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
MC 11102F
ST PAUL, MN 551012502
Phone: (651) 254-3456
Fax: (651) 254-5216
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: 2008-05-13
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 |
|---|---|---|---|---|
| I20050524000224 | I | Emergency Medicine | MN | TBD |
| I20080513000591 | I | Emergency Medicine | WI | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 144 | 142 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 75 | 75 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 40 | 39 | $0 |
| 99291 | Critical care, first 30-74 minutes | 23 | 23 | $0 |
| 93308 | Ultrasound of heart, follow-up | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55082)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Emergency Medicine | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physical Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | WI | |
| Physical Therapist In Private Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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