JENNIFER BERRIE HENNING (M.D.) – General Practice Physician, NPI 1205223542

JENNIFER BERRIE HENNING (M.D.) is a healthcare provider. based in Goodfellow afb, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. V3612 (TX). The NPI Number for JENNIFER BERRIE HENNING (M.D.) is 1205223542

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BERRIE HENNING (M.D.)
NPI
1205223542
Phone
Not provided
Address
271 FORT RICHARDSON AVE
Enumeration Date
24 April 2015
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
2163736513
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20250618003512
Address ID
WA983351706GI4700XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for JENNIFER BERRIE HENNING (M.D.)

  • 271 FORT RICHARDSON AVE

    GOODFELLOW AFB, TX 769084901

    Phone:

    Type: Mailing

  • WILFORD HALL AMBULATORY SURGICAL CENTER

    1100 WILFORD HALL LOOP

    JBSA LACKLAND, TX 78236

    Phone:

    Type: Mailing

  • 1100 WILFORD HALL LOOP

    JBSA LACKLAND, TX 782365638

    Phone:

    Type: Mailing

  • Brooke Army Medical Center

    3551 Roger Brooke Drive

    JBSA Fort Sam Houston, TX 78234

    Phone: (210) 916-3808

    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 $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: HeartFlow, Inc. ($295).

Total Amount

$295

General + Research + Ownership

Payments

2

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
HeartFlow, Inc.$295
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: 2026-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20241118002496IDiagnostic RadiologyTXTBD
I20250502000663IDiagnostic RadiologyWITBD
I20250618003512IDiagnostic RadiologyWATBD
I20251120003310IDiagnostic RadiologyILTBD
I20260223002492IDiagnostic RadiologyNYTBD

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 76908)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

What identifier follows JENNIFER BERRIE HENNING (M.D.) across health systems?
The NPI 1205223542 uniquely identifies JENNIFER BERRIE HENNING (M.D.) in U.S. healthcare data.
Does the public listing show JENNIFER BERRIE HENNING (M.D.) as active?
JENNIFER BERRIE HENNING (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret JENNIFER BERRIE HENNING (M.D.)'s specialty?
The extract shows General Practice Physician for JENNIFER BERRIE HENNING (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER BERRIE HENNING (M.D.)?
The directory associates JENNIFER BERRIE HENNING (M.D.) with Goodfellow Afb, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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