SANDRA KAY HENEMYER (FNP-C) – Family Nurse Practitioner, NPI 1215693379

SANDRA KAY HENEMYER (FNP-C) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 845628 (NV). The NPI Number for SANDRA KAY HENEMYER (FNP-C) is 1215693379

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA KAY HENEMYER (FNP-C)
NPI
1215693379
Phone
(520) 955-0199
Address
801 Hillgrove Ct
Enumeration Date
12 November 2021
Last Update Date
25 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026169471
Graduation Year
2020 (6 years ago)
PAC ID
6305231457
Group Practice PAC ID
8628125341
Professional Enrollment ID
I20220328001143
Address ID
NV890741918HE291XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for SANDRA KAY HENEMYER (FNP-C)

  • 801 Hillgrove Ct

    Las Vegas, NV 89145

    Phone: (520) 955-0199

    Type: Location

  • 801 HILLGROVE CT

    LAS VEGAS, NV 891454806

    Phone: (520) 955-0199

    Type: Mailing

  • 291 N PECOS RD

    HENDERSON, NV 890741918

    Phone: (702) 616-9471

    Fax: (702) 616-9681

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-03-29 • Largest payer in this snapshot: ABBVIE INC. ($104).

Total Amount

$250

General + Research + Ownership

Payments

13

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-29

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: 2022-03-28

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
I20220328001143INurse PractitionerNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89145)

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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: 8628125341View full group profile
NameSpecialtyState
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV
-NV
Nurse PractitionerNV
-FL
-NV
Family PracticeNV

Reviews

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Frequently asked questions

How is SANDRA KAY HENEMYER (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists SANDRA KAY HENEMYER (FNP-C) with NPI 1215693379.
Is SANDRA KAY HENEMYER (FNP-C) still practicing?
SANDRA KAY HENEMYER (FNP-C) is currently listed as active in the public NPI registry.
What taxonomy line describes SANDRA KAY HENEMYER (FNP-C)?
For research purposes, treat SANDRA KAY HENEMYER (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SANDRA KAY HENEMYER (FNP-C) based?
SANDRA KAY HENEMYER (FNP-C) is tied to Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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