DR. HEIDI KRISTINE HENRY (MD) – Diagnostic Radiology Physician, NPI 1912099714

DR. HEIDI KRISTINE HENRY (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301070485 (MI). The NPI Number for DR. HEIDI KRISTINE HENRY (MD) is 1912099714

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEIDI KRISTINE HENRY (MD)
NPI
1912099714
Phone
(952) 595-1301
Address
11995 SINGLETREE LN
Enumeration Date
29 September 2006
Last Update Date
24 June 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7144613573
Graduation Year
1997 (29 years ago)
PAC ID
8729002449
Group Practice PAC ID
9537434386
Professional Enrollment ID
I20060123000257
Address ID
MI498552736MA580XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DR. HEIDI KRISTINE HENRY (MD)

  • 11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    SUITE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 420, East Hewitt Avenue, Marquette, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498553714

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

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: 2006-01-23

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
I20060123000257IDiagnostic RadiologyMITBD

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
77067Screening mammography886886$0
77063Screening 3d breast mammography743743$0
76642Limited ultrasound scan of 1 breast5956$0
77065Diagnostic mammography of 1 breast4138$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)3837$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Provider's Procedures

DR. HEIDI KRISTINE HENRY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front7168

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: 9537434386View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Diagnostic RadiologyOH
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyPA

Reviews

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Frequently asked questions

Where can patients find DR. HEIDI KRISTINE HENRY (MD)'s NPI?
You can confirm DR. HEIDI KRISTINE HENRY (MD) with NPI 1912099714; it appears in the national provider directory.
Is DR. HEIDI KRISTINE HENRY (MD)'s NPI currently valid?
The extract we use shows DR. HEIDI KRISTINE HENRY (MD) as active.
Does DR. HEIDI KRISTINE HENRY (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. HEIDI KRISTINE HENRY (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. HEIDI KRISTINE HENRY (MD)?
The page summarizes Eden Prairie, Minnesota for DR. HEIDI KRISTINE HENRY (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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