COLIN ALEXANDER HENDERSON – Emergency Medicine Physician, NPI 1013413335

COLIN ALEXANDER HENDERSON is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in EMERGENCY MEDICINE. They hold a License No. V3878 (TX). The NPI Number for COLIN ALEXANDER HENDERSON is 1013413335

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
COLIN ALEXANDER HENDERSON
NPI
1013413335
Phone
(253) 968-1250
Address
9040A JACKSON AVENUE
Enumeration Date
4 April 2018
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9159216610
Graduation Year
2018 (8 years ago)
PAC ID
7012306525
Group Practice PAC ID
1355605924
Professional Enrollment ID
I20241112004309
Address ID
TX799384746EL12101BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for COLIN ALEXANDER HENDERSON

  • 9040A JACKSON AVENUE

    JOINT BASE LEWIS MCCHORD, WA 984310001

    Phone: (253) 968-1250

    Fax: (253) 968-0614

    Type: Mailing

  • 18511 HIGHLANDER MEDICS ST

    FORT BLISS, TX 799065327

    Phone: (915) 742-7777

    Fax: (915) 742-4890

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Lilly USA, LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$13
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: 2024-11-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211122001758IEmergency MedicineNCTBD
I20241112004309IEmergency MedicineTXTBD

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 98431)

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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: 1355605924View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineAA
-TX
-NJ
-TX
Emergency MedicineTX
Internal Medicine, Pediatric MedicineTX
-TX
Internal Medicine, Pulmonary Disease, Emergency Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

Can I cross-check COLIN ALEXANDER HENDERSON using NPI 1013413335?
NPI 1013413335 belongs to COLIN ALEXANDER HENDERSON; compare other details if you need extra assurance.
Is there an active status for COLIN ALEXANDER HENDERSON?
For scheduling context, COLIN ALEXANDER HENDERSON is shown as active in the registry.
What expertise is attributed to COLIN ALEXANDER HENDERSON?
COLIN ALEXANDER HENDERSON's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is COLIN ALEXANDER HENDERSON associated with Joint Base Lewis Mcchord?
Public fields place COLIN ALEXANDER HENDERSON around Joint Base Lewis Mcchord, Washington. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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