MARK DOUGLAS HENDERSON (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1861470148
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX
Provider Addresses for MARK DOUGLAS HENDERSON (C.R.N.A.)
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-8516
Type: Location
1443 OSPREY HTS
SAN ANTONIO, TX 782606016
Phone: (830) 438-4525
Type: Mailing
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: 2020-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080212000455 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20201230000485 | I | Certified Registered Nurse Anesthetist (Crna) | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78234)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | TX | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 17 | 17 |
| CERTIFIED REGISTERED NURSE ANESTHET | TX | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| O P T O M E T R Y | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| O P T O M E T R Y | AZ | |
| O P H T H A L M O L O G Y | AZ | |
| - | AZ | |
| - | AZ | |
| O P H T H A L M O L O G Y | AZ | |
| O P H T H A L M O L O G Y | AZ | |
| - | AZ |
Reviews
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