DR. MELISSA HENRY (MD) – Emergency Medicine Physician, NPI 1124023718

DR. MELISSA HENRY (MD) is a healthcare provider. based in Lubbock, Texas. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. L0258 (TX). The NPI Number for DR. MELISSA HENRY (MD) is 1124023718

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA HENRY (MD)
NPI
1124023718
Phone
(806) 744-7223
Address
4515 MARSHA SHARP FWY
Enumeration Date
20 June 2005
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067447223
Graduation Year
1999 (27 years ago)
PAC ID
3870688864
Group Practice PAC ID
5597768101
Professional Enrollment ID
I20071005000334

Contacts

Secure Messaging
mhenry1379946@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. MELISSA HENRY (MD)

  • Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Texas, 79407, United States

    LUBBOCK, TX 794072520

    Phone: (806) 744-7223

    Fax: (806) 740-3325

    Type: Mailing

  • Grace Medical Center, 2412, 50th Street, Lubbock, Texas, 79412, United States

    LUBBOCK, TX 79412

    Phone: (806) 744-7223

    Fax: (806) 740-3325

    Type: Location

  • 4515 Marsha Sharp Fwy

    Lubbock, TX 794072520

    Phone: (806) 744-7223

    Fax: (806) 740-3325

    Type: Location

  • 7509 MARSHA SHARP FWY

    LUBBOCK, TX 794078202

    Phone: (806) 744-7223

    Fax: (806) 740-3325

    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: 2007-10-05

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
I20071005000334IFamily PracticeTXTBD

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 79407)

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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: 5597768101View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physician AssistantTX
P O D I A T R YTX
Internal MedicineTX
Nurse PractitionerTX
Internal Medicine, EndocrinologyTX
Family PracticeTX
-TX
Diagnostic RadiologyTX
-TX

Reviews

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Frequently asked questions

How do I look up DR. MELISSA HENRY (MD) by NPI?
Use NPI 1124023718 when you need to reference DR. MELISSA HENRY (MD) in forms, claims, or directories.
Is DR. MELISSA HENRY (MD)'s NPI currently valid?
The extract we use shows DR. MELISSA HENRY (MD) as active.
What field does DR. MELISSA HENRY (MD) work in?
You can think of DR. MELISSA HENRY (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MELISSA HENRY (MD)?
The snapshot lists Lubbock, Texas for DR. MELISSA HENRY (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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