DINAH E HENDERSON (APRN) – Family Nurse Practitioner, NPI 1124113444
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DINAH E HENDERSON (APRN)
13940 N US Highway 441 Ste 102
Lady Lake, FL 321598909
Phone: (352) 751-9900
Fax: (844) 388-6186
Type: Location
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (727) 322-3439
Fax: (800) 928-7449
Type: Mailing
13940 N US HIGHWAY 441 STE 102
LADY LAKE, FL 321598909
Phone: (352) 751-9900
Fax: (844) 388-6186
Type: Location
US 301, Sumterville, Sumter County, Florida, 33585, United States
SUMTERVILLE, FL 335855141
Phone: (352) 793-5900
Fax: (352) 793-8050
Type: Mailing
101 RIVERFRONT BLVD STE 710
BRADENTON, FL 342058812
Phone: (941) 776-4000
Type: Mailing
170 N LIME AVE
SARASOTA, FL 342376122
Phone: (941) 867-0127
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($99).
Total Amount
$218
General + Research + Ownership
Payments
6
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220802000804 | I | Nurse Practitioner | FL | 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 32159)
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