Melissa Henson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10506 Issued in TX

Practice address

Ap Beutel Health Center 311 Houston St BLDG 520
College Station, TX 77843-4728

Phone

(979) 458-8276

Fax

(979) 458-8310

NPI assigned

Feb 23, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  NPD

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1821458563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AP BEUTEL HEALTH CENTER 311 HOUSTON ST BLDG 520",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778434728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AP BEUTEL HEALTH CENTER 311 HOUSTON ST BLDG 520",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778434728",
            "telephone_number": "979-458-8276",
            "fax_number": "979-458-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357083003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8880NV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher E Henderson, M.D.
• Kyle Henderson, MD
• Patti Gail Henderson, PH.D.
• Andrea Hendon, LICENSED MIDWIFE
• Lorene H Henry, MD
• Katie L Hepfer, PNP
• Heritage Row Chiropractic
• Rachael Heritage, PTA
• Michelle Herklotz
• Andrew Hermann, PTA

• Physician Assistant in College Station, TX
• Providers in College Station, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.