Krissi Lynn Henderson, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0073169 Issued in OK

Practice address

8316 E 61St St Ste 101a
Tulsa, OK 74133-1908

Phone

(918) 893-3535

NPI assigned

Sep 30, 2020

Last updated

Mar 17, 2021By 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 OK

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Domed Enterprises PLLCGroup PAC ID 2860934775, 2 clinicians

Practice addresses (Care Compare)

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.

• Domed Enterprises PLLC

  dba Oklahoma Pain Associates

  • Pain Medicine Physician
  • Tulsa, OK
  • NPI 1033958673
  Medicare reassignment Care Compare group NPD
• Access Solutions Medical Group II

  • Family Medicine Physician
  • Okmulgee, OK
  • NPI 1174024426
  Medicare reassignment NPD
• Access Medical Affordable Family Healthcare, LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1588995534
  NPD
• Dermatology & Allergy Solutions LLC

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1619371473
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1629685813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331908",
            "telephone_number": "918-893-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331908",
            "telephone_number": "918-893-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KRISSI",
        "middle_name": "LYNN",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0073169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Henderson
• Craig Henderson, LCSW
• Jaime Michelle Henderson
• Jeff M Henderson, HAS
• Jennifer Henderson
• Latisha Henderson
• Lisa M Henderson, LPC
• Megan Lonnelle Henderson, MS
• Patrick Glen Henderson, M.D.
• Patrick James Henderson, D.O.

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.