Individual provider Active NPI

Helene Patricia Henager, N.P.

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1386716504
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
147409 Issued in AZ
Practice address
9356 E Rita Rd
Ste 140
Tucson, AZ 85747-6315
Phone
(520) 398-7079
Fax
(520) 207-4317
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16506 CA
Adult Health Nurse Practitioner 363LA2200X 147409 AZ Primary

Addresses

Primary practice location

9356 E Rita Rd
Ste 140
Tucson, AZ 85747-6315

Mailing address

9356 E Rita Rd
Ste 140
Tucson, AZ 85747-6315
Phone (520) 398-7079

Other identifiers 1

IdentifierTypeStateIssuer
830364MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130924000897 AZ Practitioner - Nurse Practitioner 1052312782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3123 Hwy 83
Unit E
Sonoita, AZ 85637-0195
Phone (520) 398-7079

6620 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 398-7079

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147409AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Comprehensive Urology Past Accepting new patients
WM Michael Cochran MD PLLC Past Accepting new patients
Syed F Azam Medical Associates Inc PastSince Feb 27, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hhenager@pim-az.direct.office.nextgen.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1386716504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476315",
            "telephone_number": "520-398-7079",
            "fax_number": "520-207-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476315",
            "telephone_number": "520-398-7079",
            "fax_number": "520-207-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAGER",
        "first_name": "HELENE",
        "middle_name": "PATRICIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "16506",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "147409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830364",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.