Chris Henderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12463 Issued in ND

Practice address

1380 S Columbia Rd
Grand Forks, ND 58201-4059

Phone

(701) 795-2000

Fax

(701) 795-2260

NPI assigned

May 31, 2011

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Dakota School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hia Hospice Hospice, Fargo, ND, CCN 351500
• Ethos Hospice Hospice, Fargo, ND, CCN 351517
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019
• Valley Senior Living on Columbia Nursing home, Grand Forks, ND, CCN 355067
• Woodside Village Nursing home, Grand Forks, ND, CCN 355112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chenderson29091@direct.directaltru.org

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• 4000 Valley Square Inc

  dba Country Estates

  • Skilled Nursing Facility
  • Grand Forks, ND
  • NPI 1275627184

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Valley Homes and Services

  dba Valley Eldercare Center

  • Skilled Nursing Facility
  • Grand Forks, ND
  • NPI 1881762565

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Altru Health System

  dba Altru 1300 Columbia

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Altru Health System

  dba Altru Care Flight

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  NPD
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  NPD
• 4000 Valley Square Inc

  dba Country Estates

  • Skilled Nursing Facility
  • Grand Forks, ND
  • NPI 1275627184
  NPD (past)
• Valley Homes and Services

  dba Valley Eldercare Center

  • Skilled Nursing Facility
  • Grand Forks, ND
  • NPI 1881762565
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 4000 Valley Square Inc

  dba Country Estates

  • Skilled Nursing Facility
  • Grand Forks, ND
  • NPI 1275627184

  Nursing home

  Care Compare affiliation
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Bek Care, LLC

  dba Ethos Hospice

  • Community Based Hospice Care Agency
  • Fargo, ND
  • NPI 1598200529
  Care Compare affiliation
• Hospice of the Red River Valley

  dba HIA Hospice

  • Community Based Hospice Care Agency
  • Fargo, ND
  • NPI 1538253646
  Care Compare affiliation
• Valley Homes and Services

  dba Valley Eldercare Center

  • Skilled Nursing Facility
  • Grand Forks, ND
  • NPI 1881762565

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1669766283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HAMLINE ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032819",
            "telephone_number": "701-795-2000",
            "fax_number": "701-795-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014059",
            "telephone_number": "701-795-2000",
            "fax_number": "701-795-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chenderson29091@direct.directaltru.org",
            "affiliation": "N",
            "endpointDescription": "Direct mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1380 S Columbia Rd",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582014059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua C Helland, RN
• Elizabeth J Hellerud, MS, LAC
• Morgan Lee Hemkin, PT, DPT, CSCS
• Elizabeth A Hemler, CNM
• Beth M. Hemming, LICSW
• Laura Hennes
• Madison Herbeck
• Amber Herbranson
• Logan Herman, PT
• Shay Marie Herman

• Family Medicine Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.