Heather Hensley, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

011291 Issued in AZ

Practice address

2501 E Southern Ave Ste 18
Tempe, AZ 85282-7667

Phone

(480) 830-8333

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Heather Hensley Ivy Former name

Medicare fee-for-service enrollment

Enrolled in GA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Oklahoma State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Care Specialists PLLCGroup PAC ID 7315286044, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hivy@directaddress.net

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.

• Skin Care Specialists PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1104391655
  Medicare reassignment Care Compare group NPD
• Aqua Dermatology of Georgia PC

  dba Goodman Dermatology, Skin Cancer Specialists PC & Aesthetics Center

  • Dermatology Physician
  • Marietta, GA
  • NPI 1114022167
  Medicare reassignment NPD
• Goodman Dermatology, PC

  • Dermatology Physician
  • Roswell, GA
  • NPI 1770801144
  Medicare reassignment NPD
• Skin Cancer Specialists, LTD

  • MOHS-Micrographic Surgery Physician
  • Mesa, AZ
  • NPI 1376893164
  NPD
• Dermatopathology Lab of Skin Cancer Specialists, P.C.

  • Clinical Medical Laboratory
  • Marietta, GA
  • NPI 1083044465
  NPD
• Metrocrest Orthopaedics & Sports Medicine

  • Specialist
  • Carrollton, TX
  • NPI 1710030374
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1124280953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024736",
            "telephone_number": "480-830-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE STE 18",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827667",
            "telephone_number": "480-830-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74127",
            "country_code": "US",
            "telephone_number": "405-513-4997",
            "fax_number": "405-513-4997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Hospital Blvd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "30076",
            "country_code": "US",
            "telephone_number": "770-754-0787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10752 N 89th Pl Ste A111",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606730",
            "country_code": "US",
            "telephone_number": "480-830-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "83764",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "011291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN AND SURGEON",
            "identifier": "011291",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN AND SURGEON",
            "identifier": "83764",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN AND SURGEON",
            "identifier": "6193",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HENSLEY IVY",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared Michael Henry-Gent, AU.D.
• Jessica Henry, PA-C
• Kamryn Henry
• Lawrence Darin Henry, D.C.
• Tanya M Henry, PT
• Robert I Hepburn, DO
• Her Season Behavioral Wellness and Psychiatry LLC
• Timothy J Herbst, MD
• Haley Herdman
• Tanya Sophia Herman, DPT

• Dermatology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.