Individual provider Active NPI

Hannah Mae Henson, RN, NP-C

  • Family Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1053968297
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009391A Issued in IN
Practice address
113 N Chestnut St Ste 102
Seymour, IN 47274-2176
Phone
(812) 515-3160
Fax
(812) 315-3875
NPI assigned
Aug 22, 2019
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009391A IN
Family Nurse Practitioner 363LF0000X 28201901A IN
Family Nurse Practitioner 363LF0000X 71009391A IN Primary

Addresses

Primary practice location

113 N Chestnut St Ste 102
Seymour, IN 47274-2176

Mailing address

113 N Chestnut St Ste 102
Seymour, IN 47274-2176
Phone (812) 515-3160

Other identifiers 1

IdentifierTypeStateIssuer
300032914MedicaidIN

Other names 1

  • Ms. Hannah Mae Nance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191107001004 IN Practitioner - Nurse Practitioner 8426480757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accessible Mental Health Services LLCGroup PAC ID 2961867908, 2 clinicians

Practice addresses (Care Compare)

113 N Chestnut St
Suite 301
Seymour, IN 47274-2197
Phone 81251531601002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009391AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Jun 17, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince Nov 17, 2019 Accepting new patients
Accessible Mental Health Services LLC Family CurrentSince Aug 20, 2024 Accepting new patients

Locations

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1125 Medical Pl
Seymour, IN 47274
Phone (812) 522-1800

113 N Chestnut St
Ste 102
Seymour, IN 47274
Phone (812) 515-3160

113 N Chestnut St
Ste 301
Seymour, IN 47274
Phone (812) 515-3160

Organizations & group practices 3

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1053968297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N CHESTNUT ST STE 102",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742176",
            "telephone_number": "812-515-3160",
            "fax_number": "812-315-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N CHESTNUT ST STE 102",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742176",
            "telephone_number": "812-515-3160",
            "fax_number": "812-315-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009391A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28201901A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009391A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032914",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "NANCE",
            "middle_name": "MAE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.