AUTUMN NICOLE HENSON (FNP) – Family Nurse Practitioner, NPI 1265789853
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for AUTUMN NICOLE HENSON (FNP)
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Type: Mailing
2120 W KEARNEY ST
SPRINGFIELD, MO 658031653
Phone: (417) 869-6191
Fax: (417) 869-4131
Type: Location
2120 W Kearney St
Springfield, MO 658031653
Phone: (417) 869-6191
Fax: (417) 869-4131
Type: Location
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 234525774
Phone: (757) 395-1600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $539.
Total Amount is formed as General ($539) + Research ($0) + Ownership ($0) = $539.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($120).
Total Amount
$539
General + Research + Ownership
Payments
6
Total payment records
General Amount
$539
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $120 |
| Surmodics, Inc. | $119 |
| Janssen Pharmaceuticals, Inc | $97 |
| Dexcom, Inc. | $90 |
| GE HealthCare | $80 |
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: 2022-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220914000898 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 231 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 130 | 112 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 89 | 89 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 65801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | WV | |
| Physician Assistant | CT | |
| Physician Assistant | VA | |
| Nurse Practitioner | NY | |
| Physician Assistant | VA | |
| Physician Assistant | KS | |
| Physician Assistant | MA | |
| Physician Assistant | NC |
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