Individual provider Active NPI

Jennifer A Henderson, APRN

  • Family Nurse Practitioner
  • Pilot Point, TX
National Provider Identifier
1134479272
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131905 Issued in TX
Practice address
1246 US-377
Suite C
Pilot Point, TX 76258
Phone
(940) 686-2254
Fax
(940) 686-2830
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003771 AR
Family Nurse Practitioner 363LF0000X AP131905 TX Primary

Addresses

Primary practice location

1246 US-377
Suite C
Pilot Point, TX 76258

Mailing address

1512 Teasley LN
Denton, TX 76205-7282
Phone (940) 442-5209

Other practice location 1

3391 N College Ave Ste 1
Fayetteville, AR 72703-5461
Phone (479) 439-8120

Other practice location 2

146 Passion Play Road
Eureka Springs, AR 72632
Phone (479) 253-9746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20130103000355 AR Practitioner - Nurse Practitioner 9234382052 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131905TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Jan 9, 2023 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Mercy Health Northwest Arkansas Communities PastSince Jan 15, 2023 Accepting new patients
Pilot Point Family Practice Management Inc. Past Accepting new patients
Premier Independent Physicians Group, Inc. Past Accepting new patients

Locations

3391 N College Ave
Ste 1
Fayetteville, AR 72703
Phone (479) 439-8120

3391 N College Ave
Ste 2
Fayetteville, AR 72703
Phone (479) 439-8120

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

Interoperability endpoints

  • Direct secure messaging: jenniferhenderson@wrms.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1134479272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057282",
            "telephone_number": "940-442-5209",
            "fax_number": "940-222-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 US-377",
            "address_2": "SUITE C",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "76258",
            "telephone_number": "940-686-2254",
            "fax_number": "940-686-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3391 N College Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035461",
            "country_code": "US",
            "telephone_number": "479-439-8120",
            "fax_number": "479-439-8304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 Passion Play Road",
            "address_purpose": "LOCATION",
            "city": "Eureka Springs",
            "state": "AR",
            "postal_code": "72632",
            "country_code": "US",
            "telephone_number": "479-253-9746",
            "fax_number": "479-253-2464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pilot Point, TX

Sources for this page

Verify at the official NPI Registry.