Rachael Aline Henninger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9320 Issued in AZ

Practice address

5590 W Chandler Blvd Ste 3
Chandler, AZ 85226-3744

Phone

(602) 633-4334

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rachael Aline Papez Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Red Butte Healthcare

  dba Red Butte Pain Solutions

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1720659048
  Medicare reassignment

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1366016495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S HIGLEY RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961167",
            "telephone_number": "602-633-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263744",
            "telephone_number": "602-633-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "RACHAEL",
        "middle_name": "ALINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-06-27",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "PAPEZ",
            "middle_name": "ALINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Elizabeth Henkel, OTD, OTR/L
• Liam Hennessey, PT, DPT
• Stephanie Hennick, LAMFT
• Brennan Henning, DDS
• Bruce Davis Henning Jr.
• Henry Phan DDS, PC (Fine Dentistry)
• Brian S. Henry, D.C.
• Nicole Hensey, MS, PA-C
• Bethany Hensley
• Her Haven Women's Clinic (Blooming New Wellness)

• Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.