Stacy Henderson, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

DR.0071172 Issued in CO

Practice address

1717 Saint Charles Ave
New Orleans, LA 70130-5223

Phone

(504) 899-2800

Fax

(504) 899-2700

NPI assigned

Apr 17, 2012

Last updated

Jun 5, 2026By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, CO2 enrollments

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 2

Specialty

Plastic and Reconstructive Surgery

Education

Indiana University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

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.

• Community Medical Group, LLC

  dba Internal Medicine Associates of the Grand Valley

  • Internal Medicine Physician
  • Grand Junction, CO
  • NPI 1043640634
  Medicare reassignment Care Compare group NPD
• Center for Restorative Breast Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • New Orleans, LA
  • NPI 1407043755
  Medicare reassignment NPD
• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Medicare reassignment NPD (past)
• Community Medical Group, LLC

  dba CMG Specialty 5

  • Surgery Physician
  • Grand Junction, CO
  • NPI 1164997524
  NPD
• Community Medical Group, LLC

  dba Western Colorado Bone Health

  • Specialist
  • Grand Junction, CO
  • NPI 1720736937
  NPD
• Delta County Memorial Hospital

  dba Delta Health Oncology and Hematology

  • Multi-Specialty Clinic/Center
  • Delta, CO
  • NPI 1467019422
  NPD
• Delta County Memorial Hospital

  dba Delta Health Urgent Care and Behavioral Health Center

  • Rural Health Clinic/Center
  • Delta, CO
  • NPI 1629521539
  NPD
• Community Medical Group, LLC

  dba Grand Valley Cardiology

  • Specialist
  • Grand JCT, CO
  • NPI 1265079545
  NPD (past)
• Delta County Memorial Hospital

  dba Delta Health Surgical

  • Multi-Specialty Clinic/Center
  • Delta, CO
  • NPI 1932838562
  NPD (past)

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

• Colorado West Healthcare System

  dba Community Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1457618316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305223",
            "telephone_number": "504-899-2800",
            "fax_number": "504-899-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305223",
            "telephone_number": "504-899-2800",
            "fax_number": "504-899-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_2": "MC H-088",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8952",
            "fax_number": "717-531-4339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Stafford Ln",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814163465",
            "country_code": "US",
            "telephone_number": "970-874-8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "312344",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR.0071172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000222170",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camilla Henderson
• Darien Henderson
• Enna Henderson
• Janice A Henderson, PHD
• Joshua Henderson, B.E.
• Dane Marie Hendrick, MD
• Russell Gerard Hendrick Jr., MD
• Clifford Alva Hendricks, M.D.
• Emily Joy Hendricks, CRNA,DNP,APRN
• Jean Fallon Hendricks, O.D.

• Plastic and Reconstructive Surgery Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.