MISS SHERECA HENDERSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1730529579

MISS SHERECA HENDERSON (APRN) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 216803 (OK). The NPI Number for MISS SHERECA HENDERSON (APRN) is 1730529579

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MISS SHERECA HENDERSON (APRN)
NPI
1730529579
Phone
(918) 779-4556
Address
5555 S LEWIS AVE
Enumeration Date
25 June 2013
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9189321117
Graduation Year
2023 (3 years ago)
PAC ID
4486196011
Group Practice PAC ID
3173877362
Professional Enrollment ID
I20240611000360
Address ID
OK741374265TU2488XSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MISS SHERECA HENDERSON (APRN)

  • 5555 S LEWIS AVE

    TULSA, OK 741057104

    Phone: (918) 779-4556

    Fax: (918) 895-6917

    Type: Mailing

  • 2488 E 81ST ST STE 485

    TULSA, OK 741374265

    Phone: (918) 932-1117

    Fax: (918) 515-6204

    Type: Mailing

  • 200 N Main St Ste D

    Sand Springs, OK 740637650

    Phone: (918) 246-3456

    Fax: (918) 246-3457

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $636.

Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($180).

Total Amount

$636

General + Research + Ownership

Payments

24

Total payment records

General Amount

$636

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

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: 2024-06-11

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
I20240611000360INurse PractitionerOKTBD

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 74105)

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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: 3173877362View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What unique ID ties claims to MISS SHERECA HENDERSON (APRN)?
NPI 1730529579 is assigned to MISS SHERECA HENDERSON (APRN) under the national enumeration system.
Is MISS SHERECA HENDERSON (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MISS SHERECA HENDERSON (APRN)'s specialty in plain language?
Clinically, the directory lists MISS SHERECA HENDERSON (APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MISS SHERECA HENDERSON (APRN)?
We surface Tulsa, Oklahoma for MISS SHERECA HENDERSON (APRN) based on available NPPES addresses.
What if Tulsa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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