NPIMap

Individual provider Active NPI

Wesley J Henson, F.N.P.

  • Nurse Practitioner
  • McLeansboro, IL
National Provider Identifier
1235380155
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209007287 Issued in IL
Practice address
611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone
(618) 252-8625
Fax
(618) 252-2540
NPI assigned
Oct 9, 2008
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209007287 IL Primary

Addresses

Primary practice location

611 S Marshall Ave
MC Leansboro, IL 62859-1213

Mailing address

611 S Marshall Ave
PO Box 429
MC Leansboro, IL 62859-1213
Phone (618) 252-8625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000427 IL Practitioner - Nurse Practitioner 6204008592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1306 Maple St
Eldorado, IL 62930-1662
Phone 61827333611660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Hospital Community Foundation Nurse Practitioner CurrentSince Feb 19, 2018 Accepting new patients
Ferrell Hospital Community Foundation CurrentSince Feb 19, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Past Accepting new patients
Ferrell Hospital Community Foundation Past Accepting new patients

Locations

1338 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 370-9321

1340 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 273-3361

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

250 Small St
Harrisburg, IL 62946
Phone (618) 252-4000

Interoperability endpoints

  • Direct secure messaging: whenson79601@direct.deaconess.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1235380155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "address_2": "PO BOX 429",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591213",
            "telephone_number": "618-252-8625",
            "fax_number": "618-252-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591213",
            "telephone_number": "618-252-8625",
            "fax_number": "618-252-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "WESLEY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLeansboro, IL

Sources for this page

Verify at the official NPI Registry.