SANDRA M HENDERSON (FNP) – Family Nurse Practitioner, NPI 1033664503
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for SANDRA M HENDERSON (FNP)
1627 OLD GRAY STATION RD
JOHNSON CITY, TN 376154193
Phone: (423) 282-3376
Fax: (423) 791-8388
Type: Mailing
8 SHERIDAN SQ
SUITE 110
KINGSPORT, TN 376607478
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $890.
Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($164).
Total Amount
$890
General + Research + Ownership
Payments
54
Total payment records
General Amount
$890
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $164 |
| Amgen Inc. | $95 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $94 |
| Incyte Corporation | $82 |
| MAYNE PHARMA COMMERCIAL LLC | $62 |
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: 2020-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200129000059 | I | Nurse Practitioner | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 22 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 16 | 13 | $0 |
Insurance plans in this area (ZIP 37615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN | |
| Physician Assistant | VA | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | TN | |
| D E R M A T O L O G Y | TN | |
| Physician Assistant | TN | |
| D E R M A T O L O G Y | TN |
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