Individual provider Active NPI

Nikki Henry, PA

  • Medical Physician Assistant
  • Silver City, NM
National Provider Identifier
1821719923
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1280 E 32ND St
Silver City, NM 88061-7229
Phone
(575) 534-4795
Fax
(575) 388-9952
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1280 E 32ND St
Silver City, NM 88061-7229

Mailing address

1618 E Pine St
Silver City, NM 88061-7155
Phone (575) 388-1561

Other practice location 1

2600 N Silver St
Silver City, NM 88061-7201
Phone (575) 388-1889

Other practice location 2

1618 E Pine St
Silver City, NM 88061-7155
Phone (575) 388-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240325004045 NM Practitioner - Physician Assistant 2264879360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victor a. Nwachuku, M.D., PCGroup PAC ID 5496833774, 11 clinicians

Practice addresses (Care Compare)

1618 E Pine St
Silver City, NM 88061-7155
Phone 575388156112

Hospital & facility affiliations

  • Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1821719923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 E PINE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617155",
            "telephone_number": "575-388-1561",
            "fax_number": "575-388-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-4795",
            "fax_number": "575-388-9952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Silver St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880617201",
            "country_code": "US",
            "telephone_number": "575-388-1889",
            "fax_number": "575-388-9952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1618 E Pine St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880617155",
            "country_code": "US",
            "telephone_number": "575-388-1561",
            "fax_number": "575-388-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NIKKI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.