Individual provider Active NPI

Jenae Henderson, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1568153443
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33386 Issued in TN
Practice address
1213 Ridgeway Rd # 104
Memphis, TN 38119-5316
Phone
(901) 509-8205
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33386 TN Primary

Addresses

Primary practice location

1213 Ridgeway Rd # 104
Memphis, TN 38119-5316

Mailing address

1213 Ridgeway Rd # 104
Memphis, TN 38119-5316

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240205002797 TN Practitioner - Nurse Practitioner 1658714878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services TN PLLCGroup PAC ID 0042603656, 48 clinicians
Curana Health of Tennessee LLCGroup PAC ID 7416261482, 56 clinicians
Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

Memphis, TN 38103
Phone (337) 991-9276

5865 Ridgeway Ctr Pkwy
Memphis, TN 38120-4032
Phone (337) 991-9276

765 Bert Johnston Ave
Covington, TN 38019-2414
Phone (901) 475-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33386TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Apr 14, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 31, 2024 Accepting new patients

Locations

765 Bert Johnston Ave
Covington, TN 38019
Phone (731) 612-4202

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424

1645 Florence Rd
Savannah, TN 38372
Phone (731) 926-4200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1568153443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 RIDGEWAY RD # 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 RIDGEWAY RD # 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195316",
            "telephone_number": "901-509-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENAE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.