MALINDA TERESA HENDERSON (APRN) – Nurse Practitioner, NPI 1427159854

MALINDA TERESA HENDERSON (APRN) is a healthcare provider. based in Saint peter, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R100511-4 (MN). The NPI Number for MALINDA TERESA HENDERSON (APRN) is 1427159854

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MALINDA TERESA HENDERSON (APRN)
NPI
1427159854
Phone
(507) 931-7125
Address
100 FREEMAN DR
Enumeration Date
26 September 2006
Last Update Date
17 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073044319
Graduation Year
2006 (20 years ago)
PAC ID
0749385649
Group Practice PAC ID
0941297154
Professional Enrollment ID
I20070423000186
Address ID
MN560014592MA410XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MALINDA TERESA HENDERSON (APRN)

  • Saint Peter Regional Treatment Center, 100, Freeman Drive, Mar Wey Mobile Home Park, stp, Nicollet County, Minnesota, 56082, United States

    SAINT PETER, MN 560823504

    Phone: (507) 931-7125

    Fax: (507) 931-7126

    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)

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: 2007-04-23

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
I20070423000186INurse PractitionerMNTBD

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 minutes399119$0
90833Psychotherapy with evaluation and management visit, 30 minutes11964$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional9918$0
View full utilization report →

Insurance plans in this area (ZIP 56082)

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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: 0941297154View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
Clinical Social WorkerMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Can I use this page to confirm MALINDA TERESA HENDERSON (APRN)'s NPI?
Yes. MALINDA TERESA HENDERSON (APRN) is listed with NPI 1427159854 in the public NPI dataset.
Does the file indicate MALINDA TERESA HENDERSON (APRN) is practicing under active NPI?
Directory data currently reports MALINDA TERESA HENDERSON (APRN) as active.
What taxonomy line describes MALINDA TERESA HENDERSON (APRN)?
For research purposes, treat MALINDA TERESA HENDERSON (APRN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MALINDA TERESA HENDERSON (APRN) based?
MALINDA TERESA HENDERSON (APRN) is tied to Saint Peter, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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