Marshall Henderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RL16706 Issued in ND

Practice address

701 E Rosser Ave
Bismarck, ND 58501-4457

Phone

(701) 751-9500

Fax

(701) 751-9508

NPI assigned

Jul 1, 2020

Last updated

Jul 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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 1

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Health Physicians West LLCGroup PAC ID 5092978866, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caringedge Healthcare of Casper LLC Home health agency, Casper, WY, CCN 537086
• Enhabit Home Health Home health agency, Casper, WY, CCN 537044
• Casper Home Health LLC Home health agency, Casper, WY, CCN 537084
• Central Wyoming Hospice Program Hospice, Casper, WY, CCN 531501
• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Merit-based Incentive Payment System (MIPS)

Final score

80.9 of 100Reported as group

Quality

68.13

Promoting interoperability

99

Improvement activities

40

Cost

69.04

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1063778728
  Medicare reassignment Care Compare group NPD
• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Ogallala, NE
  • NPI 1154687812
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Casper Home Health, LLC

  • Home Health Agency
  • Casper, WY
  • NPI 1336652452
  Care Compare affiliation
• Central Wyoming Hospice Program

  • Community Based Hospice Care Agency
  • Casper, WY
  • NPI 1295725976
  Care Compare affiliation
• Eh Health Home Health of the Northwest, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Casper, WY
  • NPI 1619560471
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1225655616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014457",
            "telephone_number": "701-751-9500",
            "fax_number": "701-751-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014457",
            "telephone_number": "701-751-9500",
            "fax_number": "701-751-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MARSHALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL16706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459002",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauree Hellman, APRN, PMHCNS
• Lory Beth Hellman, LPCC
• Amanda Helm, FNP
• Helping Hands Care, LLC (Helping Hands Care)
• Lindsey Lee Henderson Drevecky, MD
• Natalie Henderson
• Corey Hendricks
• Jody Hendrickson
• Ryne Hendrickson, PHARMD
• Avery Dawn Henke, FNP-BC

• Family Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.