Wendy Stout Henderson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20120 Issued in TN

Practice address

49 Cleveland St Ste 200
Crossville, TN 38555-2854

Phone

(931) 459-7249

NPI assigned

Aug 10, 2015

Last updated

Jan 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morgan County Health Council IncGroup PAC ID 6800865908, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quality Home Health Home health agency, Jamestown, TN, CCN 447406
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Morgan County Health Council Inc

  dba Morgan County Medical Center

  • Federally Qualified Health Center (FQHC)
  • Wartburg, TN
  • NPI 1720099419
  Medicare reassignment Care Compare group NPD
• Exac Care, PLLC

  dba Exac Care, LLC

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1518231679
  Medicare reassignment NPD
• Cumberland Medical Center, Inc.

  dba Cumberland Medical Center

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  NPD (past)

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

• All Care Plus Inc.

  dba Quality Home Health

  • Home Health Agency
  • Jamestown, TN
  • NPI 1629073614
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1407232689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR",
            "address_2": "STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552704",
            "telephone_number": "931-210-5577",
            "fax_number": "931-210-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND ST STE 200",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552854",
            "telephone_number": "931-459-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "WENDY",
        "middle_name": "STOUT",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Haverly, DPM
• Courtney Ann Havrilek
• Jessica Hayes, FNP
• Landon Kyle Headrick, PHARM. D.
• Jennifer Heady, PHARMD
• Mark Neal Hendrixson, MD
• Meghan Lynn Henry, RDN
• Paul Edward Henson III, MD
• Jessica Hernandez, FNP-BC, FNP-C
• HG Health, LLC (Comfort Keepers)

• Family Nurse Practitioner in Crossville, TN
• Providers in Crossville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.