Active NPI
Carmen Henderson
- Acute Care Nurse Practitioner
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP013980
- Practice address
- 118 E 2ND St
Erie, PA 16507-1502 - Phone
- (814) 877-6000
- NPI assigned
- Aug 4, 2014
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP013980 | PA | Primary |
Addresses
Primary practice location
118 E 2ND St
Erie, PA 16507-1502
Mailing address
1205 Chelsea Ave
Erie, PA 16505-3311
Phone (808) 392-8914
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chenderson115520@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W 12TH St
Erie, PA 16505-4500
Phone (814) 838-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013980 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Chautauqua at Wca | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Chautauqua at Wca | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Oncology Hematology Association Inc | Current | Accepting new patients | |
| Oncology Hematology Association | Current | Accepting new patients |
Locations
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850
5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020
Interoperability endpoints
- carmen.m.wilson@upmcdirect.com
- chenderson115520@upmc.direct-ci.com
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1861469223
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba UPMC Chautauqua WCA
- Hematology & Oncology Physician
- Jamestown, NY
- NPI 1295033298
-
- Clinical Medical Laboratory
- Johnstown, PA
- NPI 1932256104
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Surgery Physician
- Pittsburgh, PA
- NPI 1306804729
-
dba UPMC Chautauqua WCA
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1568871598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 CHELSEA AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165053311",
"telephone_number": "808-392-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E 2ND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071502",
"telephone_number": "814-877-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP013980",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chenderson115520@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.