JESSICA ELIZABETH HENDERSON (AUD, CCC-A) – Audiologist, NPI 1629324447

JESSICA ELIZABETH HENDERSON (AUD, CCC-A) is a healthcare provider. based in Lacey, Washington. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD, CCC-A. They hold a License No. LD60293073 (WA). The NPI Number for JESSICA ELIZABETH HENDERSON (AUD, CCC-A) is 1629324447

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ELIZABETH HENDERSON (AUD, CCC-A)
NPI
1629324447
Phone
(360) 704-7900
Address
1307 Violet St SE
Enumeration Date
30 July 2012
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607047900
Graduation Year
2012 (14 years ago)
PAC ID
9537319983
Group Practice PAC ID
2860782513
Professional Enrollment ID
I20121022000448
Address ID
WA985024462OL365XXNWXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

273 QUALIFIED AUDIOLOGIST in WA

Provider Addresses for JESSICA ELIZABETH HENDERSON (AUD, CCC-A)

  • 1307 Violet St SE

    Lacey, WA 985035710

    Phone: (360) 704-7900

    Fax: (360) 704-7909

    Type: Location

  • 409 S Market Blvd

    Chehalis, WA 985323043

    Phone: (360) 704-7900

    Fax: (360) 704-7909

    Type: Location

  • 365 COOPER POINT RD NW STE 101

    OLYMPIA, WA 985024462

    Phone: (301) 704-7900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2012-10-22

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
I20121022000448IQualified AudiologistWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test223223$0
92567Test to assess middle ear function206205$0
92504Exam of ear using a microscope8279$0
92552Test for hearing various pitches using earphone4039$0
92556Test for ability to detect and repeat spoken words with speech recognition3837$0
View full utilization report →

Insurance plans in this area (ZIP 98503)

Loading plans...

Provider's Procedures

JESSICA ELIZABETH HENDERSON (AUD, CCC-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTWA92567Eardrum testing using ear probe185178

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: 2860782513View full group profile
NameSpecialtyState
Qualified AudiologistWA
Qualified AudiologistWA
Qualified AudiologistWA
Qualified AudiologistWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for JESSICA ELIZABETH HENDERSON (AUD, CCC-A)?
Save NPI 1629324447 if you need a stable reference for JESSICA ELIZABETH HENDERSON (AUD, CCC-A).
Is JESSICA ELIZABETH HENDERSON (AUD, CCC-A) currently active in the NPI registry?
CMS-published data lists JESSICA ELIZABETH HENDERSON (AUD, CCC-A) as an active registrant.
What field does JESSICA ELIZABETH HENDERSON (AUD, CCC-A) work in?
You can think of JESSICA ELIZABETH HENDERSON (AUD, CCC-A) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
Does JESSICA ELIZABETH HENDERSON (AUD, CCC-A) practice in Washington?
You will see Lacey, Washington on file for JESSICA ELIZABETH HENDERSON (AUD, CCC-A) alongside any extra practice locations.
What if Lacey, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

9321, Eld Court Northeast, Lacey, Thurston County, Washington, 98516, United States
NPI: 1245288935
5065 50th Ct SE
NPI: 1699874347
4444 LACEY BLVD SE
NPI: 1003032772
1311, South Union Avenue, Tacoma, Pierce County, Washington, 98405, United States
NPI: 1174715015
Cooper Point Road Northwest, Olympia, Thurston County, Washington, 98512, United States
NPI: 1740453927
365 COOPER POINT RD NW STE 101
NPI: 1295199735
1307 Violet St SE
NPI: 1598271991
South Union Avenue, Tacoma, Pierce County, Washington, 98405-1326, United States
NPI: 1659933893