Individual provider Active NPI

Steven Henderson, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1013881309
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17443 Issued in WI
Practice address
721 Oxford Ave
Eau Claire, WI 54703-5212
Phone
(715) 839-7602
Fax
(715) 839-7602
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17443 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17443 WI Primary

Addresses

Primary practice location

721 Oxford Ave
Eau Claire, WI 54703-5212

Mailing address

721 Oxford Ave
Eau Claire, WI 54703-5212
Phone (715) 839-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022001206 WI Practitioner - Nurse Practitioner 3577051580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Eau ClaireGroup PAC ID 7113350398, 7 clinicians

Practice addresses (Care Compare)

721 Oxford Ave
Eau Claire, WI 54703-5212
Phone (715) 839-7602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17443WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Eau Claire CurrentSince Sep 19, 2025 Accepting new patients

Locations

721 Oxford Ave
Eau Claire, WI 54703
Phone (715) 839-2300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1013881309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-7602",
            "fax_number": "715-839-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-7602",
            "fax_number": "715-839-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STEVEN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "17443",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "17443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.