ADINA H HENDERSON (NP) – Nurse Practitioner, NPI 1063150704

ADINA H HENDERSON (NP) is a healthcare provider. based in Eugene, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 202207983NP-PP (OR). The NPI Number for ADINA H HENDERSON (NP) is 1063150704

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ADINA H HENDERSON (NP)
NPI
1063150704
Phone
(541) 686-1711
Address
1650 Chambers St
Enumeration Date
23 May 2022
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417359420
Graduation Year
2021 (5 years ago)
PAC ID
1355722968
Group Practice PAC ID
6800126145
Professional Enrollment ID
I20220713003397
Address ID
OR974774113SP1435XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for ADINA H HENDERSON (NP)

  • 1650 Chambers St

    Eugene, OR 974023636

    Phone: (541) 686-1711

    Type: Location

  • 33261 BLOOMBERG RD

    EUGENE, OR 974059609

    Phone: (541) 913-4702

    Type: Mailing

  • 1650 CHAMBERS ST

    EUGENE, OR 974023636

    Phone: (541) 686-1711

    Type: Location

  • PO BOX 163

    SPRINGFIELD, OR 974770024

    Phone: (541) 735-9420

    Fax: (541) 747-9870

    Type: Mailing

  • 1435 G ST

    SPRINGFIELD, OR 974774113

    Phone: (541) 735-9420

    Fax: (541) 747-9870

    Type: Location

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: 2022-07-13

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
I20220713003397INurse PractitionerORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes267206$0
36415Insertion of needle into vein for collection of blood sample10791$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6161$0
80053Blood test, comprehensive group of blood chemicals5754$0
99214Established patient office or other outpatient visit, 30-39 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 97402)

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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: 6800126145View full group profile
NameSpecialtyState
Nurse PractitionerOR
O B S T E T R I C S/ G Y N E C O L O G YNV
-OR
Physician AssistantOR
Family PracticeOR
Clinical Social WorkerCA
Family PracticeOR
P S Y C H I A T R YOR
Physician AssistantID
Nurse PractitionerOR

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Frequently asked questions

How do I look up ADINA H HENDERSON (NP) by NPI?
Use NPI 1063150704 when you need to reference ADINA H HENDERSON (NP) in forms, claims, or directories.
Does this profile mean ADINA H HENDERSON (NP) is currently active?
Yes — ADINA H HENDERSON (NP) appears active in the national provider directory.
What kind of provider is ADINA H HENDERSON (NP)?
The page reflects Nurse Practitioner for ADINA H HENDERSON (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for ADINA H HENDERSON (NP)?
The page summarizes Eugene, Oregon for ADINA H HENDERSON (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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