WENDY STOUT HENDERSON (NP-C) – Family Nurse Practitioner, NPI 1407232689

WENDY STOUT HENDERSON (NP-C) is a healthcare provider. based in Crossville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 20120 (TN). The NPI Number for WENDY STOUT HENDERSON (NP-C) is 1407232689

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
WENDY STOUT HENDERSON (NP-C)
NPI
1407232689
Phone
(931) 459-7249
Address
49 CLEVELAND ST STE 200
Enumeration Date
10 August 2015
Last Update Date
20 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4233466221
Graduation Year
2015 (11 years ago)
PAC ID
1052615622
Group Practice PAC ID
6800865908
Professional Enrollment ID
I20160203000142
Address ID
TN378874163WA224XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for WENDY STOUT HENDERSON (NP-C)

  • 49 CLEVELAND ST STE 200

    CROSSVILLE, TN 385552854

    Phone: (931) 459-7249

    Type: Location

  • 229 INTERSTATE DR

    STE 103

    CROSSVILLE, TN 385552704

    Phone: (931) 210-5577

    Fax: (931) 210-5575

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $672.

Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($152).

Total Amount

$672

General + Research + Ownership

Payments

33

Total payment records

General Amount

$672

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2016-02-03

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
I20160203000142INurse PractitionerTNTBD

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 38555)

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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: 6800865908View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineTN
P S Y C H I A T R YTN
Family Practice, Hospitalist, Family PracticeCA

Reviews

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Frequently asked questions

Can I use this page to confirm WENDY STOUT HENDERSON (NP-C)'s NPI?
Yes. WENDY STOUT HENDERSON (NP-C) is listed with NPI 1407232689 in the public NPI dataset.
Does CMS list WENDY STOUT HENDERSON (NP-C) as active?
Yes — WENDY STOUT HENDERSON (NP-C) is active in the NPI listing used on this page.
What is WENDY STOUT HENDERSON (NP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for WENDY STOUT HENDERSON (NP-C) here. Clinical services aligned with this taxonomy classification.
What area does WENDY STOUT HENDERSON (NP-C) serve?
WENDY STOUT HENDERSON (NP-C)'s listing highlights Crossville, Tennessee; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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