Individual provider Active NPI

Tessa Suzanne Henderson, NP

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1033558101
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0990650-NP Issued in CO
Practice address
12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone
(303) 649-3050
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0990650-NP CO
Gerontology Nurse Practitioner 363LG0600X APN.0990650-NP CO
Family Nurse Practitioner 363LF0000X APN.0990650-NP CO Primary

Addresses

Primary practice location

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035

Mailing address

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone (303) 649-3050

Other practice location 1

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1726
Phone (720) 638-7500

Other practice location 2

1000 Southpark Dr
Littleton, CO 80120-5654
Phone (303) 744-1065

Other practice location 3

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other identifiers 3

IdentifierTypeStateIssuer
384572YQ3LOtherCOMEDICARE
384572YQN9OtherCOMEDICARE
384572YQPGOtherCOMEDICARE

Other names 1

  • Tessa Suzanne Meunier, Houle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150112001762 CO Practitioner - Nurse Practitioner 3173847654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2525 S Downing St
HSPC Hospitalists Pah
Denver, CO 80210-5817
Phone (303) 715-7184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Oct 1, 2017 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT CurrentSince Jun 27, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 1, 2017 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients

Locations

4350 Limelight Ave
Unit 100
Castle Rock, CO 80109
Phone (720) 455-3775

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

850 E Harvard Ave
Ste 305
Denver, CO 80210
Phone (303) 778-5910

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

8200 E Belleview Ave
Ste 600E
Greenwood Village, CO 80111
Phone (720) 493-3406

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

12596 W Bayaud Ave
Ste 100
Lakewood, CO 80228
Phone (303) 551-4156

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

1000 Southpark Dr
Littleton, CO 80120
Phone (303) 715-2245

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9980 Park Meadows Dr
Ste 101
Lone Tree, CO 80124

9403 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-8780

Networks

  • CO HMO C-SNP
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1033558101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282035",
            "telephone_number": "303-649-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282035",
            "telephone_number": "303-649-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281726",
            "country_code": "US",
            "telephone_number": "720-638-7500",
            "fax_number": "720-321-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Southpark Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801205654",
            "country_code": "US",
            "telephone_number": "303-744-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TESSA",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0990650-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0990650-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990650-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "384572YQ3L",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "384572YQN9",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "384572YQPG",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "MEUNIER, HOULE",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.