Active NPI
Ann Henderson, CRNP
- Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R128848
- Practice address
- 11065 Little Patuxent Pkwy
Columbia, MD 21044-2998 - Phone
- (410) 328-3037
- Fax
- (410) 328-3040
- NPI assigned
- Feb 28, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R128848 | MD | Primary |
Addresses
Primary practice location
11065 Little Patuxent Pkwy
Columbia, MD 21044-2998
Mailing address
PO Box 64620
Baltimore, MD 21264-4620
Phone (410) 328-3037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R128848 | Other | MD | MD BOARD OF NURSING LICEN |
Other names 1
- Elizabeth Henderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
291 Stoner Ave
Westminster, MD 21157-5647
Phone (410) 871-6400
Hospital & facility affiliations
- Sinai Hospital of Baltimore
- Carroll Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.83 of 100
- Quality
- 71.66
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.03 of 100
- Quality
- 71.4
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R128848 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Oncology Hematology P.a. | Current | Accepting new patients | |
| Maryland Oncology Hematology, P.a. | Current | Accepting new patients | |
| Maryland Oncology Hematology P.a. | Current | Accepting new patients | |
| Mid-Atlantic Oncology Hematology, LLC | Current | Accepting new patients | |
| Carroll Regional Cancer Center Physicians, LLC | Current | Accepting new patients | |
| University of Maryland Radiation Oncology Associates PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11720 Beltsville Dr
Ste 211
Beltsville, MD 20705
11065 Little Patuxent Pkwy
Columbia, MD 21044
Phone (410) 740-9300
12200 Annapolis Rd
Ste 118
Glenn Dale, MD 20769
Phone (410) 897-6200
7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800
291 Stoner Ave
Westminster, MD 21157
Phone (410) 871-6139
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Westminster, MD
- NPI 1609167998
-
- Non-Pharmacy Dispensing Site
- Silver Spring, MD
- NPI 1336693431
-
- Hematology & Oncology Physician
- Columbia, MD
- NPI 1396710703
-
- Hematology & Oncology Physician
- Silver Spring, MD
- NPI 1720573132
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1780637272
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1720054620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64620",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644620",
"telephone_number": "410-328-3037",
"fax_number": "410-328-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11065 LITTLE PATUXENT PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442998",
"telephone_number": "410-328-3037",
"fax_number": "410-328-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R128848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD BOARD OF NURSING LICEN",
"identifier": "R128848",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "HENDERSON",
"credential": "CRNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.