Individual provider Active NPI

Carmen Henderson

  • Acute Care Nurse Practitioner
  • Erie, PA
National Provider Identifier
1568871598
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP013980 Issued in PA
Practice address
118 E 2ND St
Erie, PA 16507-1502
Phone
(814) 877-6000
NPI assigned
Aug 4, 2014
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address chenderson115520@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140916001986 PA Practitioner - Nurse Practitioner 8527287051 Reassigns benefits to 2 organizations
I20230131000186 NY Practitioner - Nurse Practitioner 8527287051 Reassigns benefits to 1 organization

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
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

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

LicenseStateTypeSpecialty
SP013980PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 14, 2014 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Nov 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 14, 2014 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Nov 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Oncology Hematology Association Inc CurrentSince Dec 6, 2021 Accepting new patients
Oncology Hematology Association CurrentSince Dec 6, 2021 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

  • Direct secure messaging: carmen.m.wilson@upmcdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.