Active NPI
Wesley Andrew Henderson, CRNA
- Certified Registered Nurse Anesthetist
- Tell City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 90868
- Practice address
- 8885 Indiana-237
Tell City, IN 47586 - Phone
- (812) 547-7011
- NPI assigned
- Nov 9, 2012
- Last updated
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 90868 | TN | Primary |
Addresses
Primary practice location
8885 Indiana-237
Tell City, IN 47586
Mailing address
468 Fonso Cir
Bowling Green, KY 42104-5582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100228600 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2609 New Hartford Rd
Suite 3
Owensboro, KY 42303-1316
Phone (812) 476-7111
3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 473-0181
700 Kimber LN
Evansville, IN 47715-2803
Phone (812) 476-7111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 77.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90868 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates PLLC | Current | Accepting new patients | |
| Anesthesiology Group Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Pain Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eye Care Surgery Center of Evansville, LLC | Current | Accepting new patients | |
| South Central Ohio Anesthesia, LLC | Past | Accepting new patients |
Locations
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
1001 Walnut St
Evansville, IN 47713
Phone (812) 421-2020
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
6540 Logan Dr
#3
Evansville, IN 47715
Phone (812) 402-9620
6540 Logan Dr
Ste 3
Evansville, IN 47715
Phone (812) 402-3937
700 Kimber Ln
Evansville, IN 47715
520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
252 Whittington Pkwy
Louisville, KY 40222
Phone (502) 423-7246
2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
Interoperability endpoints
- wesley.henderson.1@16521.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1194761262
Nurse Anesthetist, Certified Registered
-
dba Commonwealth Pain and Spine
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
IN, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Evansville, IN
- NPI 1821170499
-
dba Commonwealth Pain And Spine
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
-
- Anesthesiology Physician
- Tell City, IN
- NPI 1679028799
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1174877377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 FONSO CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 INDIANA-237",
"city": "TELL CITY",
"state": "IN",
"postal_code": "47586",
"telephone_number": "812-547-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "WESLEY",
"middle_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-09",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "90868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100228600",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.