Kelly Henehan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.010525 Issued in IL

Practice address

85 W Algonquin Rd Ste 220
Arlington Heights, IL 60005-4423

Phone

(847) 381-8899

NPI assigned

Jul 1, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khenehan@directaddress.net

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.

• Derick Dermatology, PLLC

  • Dermatology Physician
  • Crystal Lake, IL
  • NPI 1134664402
  Medicare reassignment Care Compare group
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1639670904
  NPD
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Tampa, FL
  • NPI 1396455861
  NPD
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Park, IL
  • NPI 1154998425
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Libertyville, IL
  • NPI 1174097836
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Bartlett, IL
  • NPI 1225526627
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Brook, IL
  • NPI 1366009664
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Lindenhurst, IL
  • NPI 1376017038
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Naperville, IL
  • NPI 1386118057
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1497792618
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Orland Park, IL
  • NPI 1588232805
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Geneva, IL
  • NPI 1669066395
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1629814561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W ALGONQUIN RD STE 220",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054423",
            "telephone_number": "847-381-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W ALGONQUIN RD STE 220",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054423",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEHAN",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khenehan@directaddress.net",
            "affiliation": "N",
            "address_1": "85 W Algonquin Rd Ste 220",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600054423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "address_1": "85 W Algonquin Rd Ste 220",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600054423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy M Hellgeth, SLP
• Mariela Hendley, CRNA
• Randell Aaron Hendley, APN-CRNA
• Brent Alan Hendon, D.C.
• Shannon Jenee Hendrson
• Elizabeth Heneks, LCSW
• Christopher Atticus Henry, M.D.
• Jennifer N Henry, LCSW
• Jasmine Henseler, PT, DPT
• Burton L Herbstman, M.D.

• Physician Assistant in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.