Individual provider Active NPI

Abigail Marie Henderson, NP

  • Family Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1740086628
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13170 Issued in MN
Practice address
683 Bielenberg Dr Ste 103
Woodbury, MN 55125-1711
Phone
(952) 841-2345
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 2482591 MN
General Practice Registered Nurse 163WG0000X 1121914-30 WI
Family Nurse Practitioner 363LF0000X 17107-33 WI
Family Nurse Practitioner 363LF0000X 13170 MN Primary

Addresses

Primary practice location

683 Bielenberg Dr Ste 103
Woodbury, MN 55125-1711

Mailing address

7670 Inskip TRL S
Cottage Grove, MN 55016-2059
Phone (651) 380-8148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20250923002357 MN Practitioner - Nurse Practitioner 9133624059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew J Will MD PAGroup PAC ID 9830152495, 36 clinicians

Practice addresses (Care Compare)

14551 County Rd
11 Suite 100
Burnsville, MN 55337-4799
Phone (952) 841-2345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2482591MNMDGeneral Practice Registered Nurse
1121914-30WIMDGeneral Practice Registered Nurse
13170MNMDFamily Nurse Practitioner
17107-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J Will MD PA Current Accepting new patients
Andrew J Will MD PA CurrentSince Sep 1, 2025 Accepting new patients
Andrew J Will MD PA CurrentSince Sep 1, 2025 Accepting new patients

Locations

14551 County Road 11
Ste 100
Burnsville, MN 55337
Phone (952) 260-1381

584 Bavaria Ln
Chaska, MN 55318

12000 Elm Creek Blvd N
Ste 300
Maple Grove, MN 55369

7235 Ohms Ln
Minneapolis, MN 55439
Phone (952) 204-3502

7225 Ohms Ln
Ste 150
Minneapolis, MN 55439

1725 Legacy Pkwy E
Ste 100
Saint Paul, MN 55109
Phone (651) 225-5420

683 Bielenberg Dr
Ste 103
Woodbury, MN 55125
Phone (651) 731-0505

Interoperability endpoints

  • Direct secure messaging: abigail.henderson.p1@direct.tcpain.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1740086628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 INSKIP TRL S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162059",
            "telephone_number": "651-380-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BIELENBERG DR STE 103",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251711",
            "telephone_number": "952-841-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "2482591",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "1121914-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "17107-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.