ANN BURNHAM HENDERSON (PA-C) – Physician Assistant, NPI 1164655338
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANN BURNHAM HENDERSON (PA-C)
Carilion Stonewall Jackson Hospital, 1, Health Circle, Lexington, Lexington City, Virginia, 24450, United States
LEXINGTON, VA 244502448
Phone: (540) 458-3300
Type: Location
116, Eagle View Lane, Rockbridge County, Virginia, 24472, United States
RAPHINE, VA 244722612
Phone: (540) 230-8397
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: 2009-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20091030000254 | I | Physician Assistant | VA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 24450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| General Surgery | VA | |
| Internal Medicine, Infectious Disease | VA | |
| General Surgery | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| General Surgery | VA | |
| General Surgery, Colorectal Surgery (Proctology) | MA |
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