Individual provider Active NPI

Jaime Henson, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1023553229
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016830 Issued in PA
Practice address
1401 Roosevelt Ave
York, PA 17404-2244
Phone
(717) 356-6250
Fax
(717) 553-1269
NPI assigned
Dec 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016830 PA Primary

Addresses

Primary practice location

1401 Roosevelt Ave
York, PA 17404-2244

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

2075 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 217-6055

Other practice location 2

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170215002023 PA Practitioner - Nurse Practitioner 0648553719 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016830PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth Wellness Services CurrentSince Apr 15, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Dec 12, 2016 Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Dec 12, 2016 Accepting new patients
Truenorth Wellness Services Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Truenorth Wellness Services CurrentSince Apr 15, 2021 Accepting new patients
Good Samaritan Physician Services Current Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

354 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 217-6870

3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644

12 St Paul Dr
Ste 203
Chambersburg, PA 17201
Phone (717) 264-4839

2055 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-4963

12 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 217-6760

2075 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-6055

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

625 W Elm Ave
Hanover, PA 17331

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

300 W King St
Ste C
Littlestown, PA 17340
Phone (717) 339-2390

2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115

46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
#3
Waynesboro, PA 17268
Phone (717) 765-5060

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

6155 Anthony Hwy
Waynesboro, PA 17268
Phone (717) 749-3181

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

1600 S George St
York, PA 17403
Phone (717) 848-3615

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: jhenson107250@wellspan.direct-ci.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1023553229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROOSEVELT AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174042244",
            "telephone_number": "717-356-6250",
            "fax_number": "717-553-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011451",
            "country_code": "US",
            "telephone_number": "717-217-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Keefer Dr",
            "address_purpose": "LOCATION",
            "city": "Mercersburg",
            "state": "PA",
            "postal_code": "172361732",
            "country_code": "US",
            "telephone_number": "717-328-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JAIME",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.