MONICA ZOLLNER HENDERSON (DNP) – Family Nurse Practitioner, NPI 1700229929

MONICA ZOLLNER HENDERSON (DNP) is a healthcare provider. based in Woodburn, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 201505318NP (OR). The NPI Number for MONICA ZOLLNER HENDERSON (DNP) is 1700229929

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MONICA ZOLLNER HENDERSON (DNP)
NPI
1700229929
Phone
(503) 814-4400
Address
105 ARNEY RD STE 120
Enumeration Date
8 April 2013
Last Update Date
6 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038148640
Graduation Year
2015 (11 years ago)
PAC ID
6507176245
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20151109000331
Address ID
OR970719472WO105XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for MONICA ZOLLNER HENDERSON (DNP)

  • 105 ARNEY RD STE 120

    WOODBURN, OR 970719472

    Phone: (503) 814-4400

    Fax: (503) 814-8659

    Mailing address matches the actual address.

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: 2015-11-09

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
I20151109000331INurse 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.

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

Insurance plans in this area (ZIP 97071)

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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: 8628986668View full group profile
NameSpecialtyState
-OR
U R O L O G YOR
Physician AssistantOR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMT
Family PracticeOR
Plastic And Reconstructive SurgeryOR
Nurse PractitionerOR
A N E S T H E S I O L O G YWA
-OR

Reviews

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Frequently asked questions

What is MONICA ZOLLNER HENDERSON (DNP)'s NPI number?
MONICA ZOLLNER HENDERSON (DNP)'s NPI is 1700229929 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MONICA ZOLLNER HENDERSON (DNP)?
For scheduling context, MONICA ZOLLNER HENDERSON (DNP) is shown as active in the registry.
How would a patient describe MONICA ZOLLNER HENDERSON (DNP)'s focus?
For MONICA ZOLLNER HENDERSON (DNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MONICA ZOLLNER HENDERSON (DNP) located near Woodburn?
MONICA ZOLLNER HENDERSON (DNP) currently maps to Woodburn, Oregon in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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