KATHLEEN HENDERSON (MSN, CRNP) – Adult Health Nurse Practitioner, NPI 1477759264

KATHLEEN HENDERSON (MSN, CRNP) is a healthcare provider. based in Sellersville, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, CRNP. They hold a License No. VP004751X (PA). The NPI Number for KATHLEEN HENDERSON (MSN, CRNP) is 1477759264

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN HENDERSON (MSN, CRNP)
NPI
1477759264
Phone
(215) 453-3300
Address
915 Lawn Ave Ste 202
Enumeration Date
27 June 2007
Last Update Date
30 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2157075030
Graduation Year
1995 (31 years ago)
PAC ID
5991892192
Group Practice PAC ID
0345588711
Professional Enrollment ID
I20071106000026
Address ID
PA191405103PH3401XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for KATHLEEN HENDERSON (MSN, CRNP)

  • 915 Lawn Ave Ste 202

    Sellersville, PA 189601551

    Phone: (215) 453-3300

    Fax: (215) 453-3306

    Type: Location

  • 2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States

    PHILADELPHIA, PA 191291302

    Phone: (215) 453-3300

    Fax: (215) 453-3306

    Type: Mailing

  • Cottman Avenue, Philadelphia, Philadelphia County, Pennsylvania, 19135, United States

    PHILADELPHIA, PA 191112434

    Phone: (215) 707-3677

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Tempus AI, Inc ($28).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2007-11-06

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
I20071106000026INurse PractitionerPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9876$0
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
99202New patient office or other outpatient visit, 15-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 18960)

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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: 0345588711View full group profile
NameSpecialtyState
Internal MedicinePA
A N E S T H E S I O L O G YPA
Pulmonary Disease, Critical Care (Intensivists), HospitalistPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Pulmonary Disease, Critical Care (Intensivists)PA
General SurgeryPA
-PA
P A T H O L O G YPA
-PA

Reviews

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Frequently asked questions

Does KATHLEEN HENDERSON (MSN, CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHLEEN HENDERSON (MSN, CRNP) uses 1477759264.
Is KATHLEEN HENDERSON (MSN, CRNP) listed as active for patients and plans?
The listing shows KATHLEEN HENDERSON (MSN, CRNP) as active in the NPI system.
What is KATHLEEN HENDERSON (MSN, CRNP)'s specialty?
The listing groups KATHLEEN HENDERSON (MSN, CRNP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KATHLEEN HENDERSON (MSN, CRNP)?
KATHLEEN HENDERSON (MSN, CRNP)'s geographic hint is Sellersville, Pennsylvania in our summary view.
Is the information about KATHLEEN HENDERSON (MSN, CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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