Active NPI
Jolene Bryner Henshaw, M.D.
- Surgery Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101241379
- Practice address
- 830 Hospital Dr
Blacksburg, VA 24060-7023 - Phone
- (540) 951-0780
- Fax
- (540) 951-0782
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101241379 | VA | Primary |
Addresses
Primary practice location
830 Hospital Dr
Blacksburg, VA 24060-7023
Mailing address
830 Hospital Dr
Blacksburg, VA 24060-7023
Phone (540) 951-0780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164549978 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arizona College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 Davis St
Suite Ste1
Blacksburg, VA 24060-7013
Phone (540) 961-1590
Hospital & facility affiliations
- Lewisgale Hospital Montgomery
- Lewisgale Medical Center
- Carilion New River Valley Medical Center
- Lewisgale Hospital Pulaski
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.67 of 100
- Quality
- 66.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 74 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis Gale Physicians LLC | Current | Accepting new patients | |
| Surgical Associates of the New River Valley LLC | Surgery | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
817 Davis St
Ste A
Blacksburg, VA 24060
Phone (540) 443-3940
801 Davis St
Ste 1
Blacksburg, VA 24060
Phone (540) 961-0218
809 Davis St
#1
Blacksburg, VA 24060
Phone (540) 951-0780
817 Davis St
Ste 1
Blacksburg, VA 24060
Phone (540) 552-3670
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
1802 Braeburn Dr
Ste 2
Salem, VA 24153
1802 Braeburn Dr
Ste 3
Salem, VA 24153
1802 Braeburn Dr
#2
Salem, VA 24153
1802 Braeburn Dr
#3
Salem, VA 24153
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
-
- Surgery Physician
- Blacksburg, VA
- NPI 1841377397
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
-
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1164549978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 HOSPITAL DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607023",
"telephone_number": "540-951-0780",
"fax_number": "540-951-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HOSPITAL DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607023",
"telephone_number": "540-951-0780",
"fax_number": "540-951-0782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSHAW",
"first_name": "JOLENE",
"middle_name": "BRYNER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101241379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164549978",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.