Mamie Rene Henshaw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13066 Issued in NC

Practice address

8616 Warwick Crest LN
Charlotte, NC 28215-7360

Phone

(703) 539-9838

NPI assigned

Feb 27, 2023

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

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Neighbors Care Home Health Agency, an Amedisys Co Home health agency, Chester, SC, CCN 427063
• Musc Health Chester Medical Center Hospital, Chester, SC, CCN 420019
• Atrium Health University City Hospital, Charlotte, NC, CCN 340166

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mhenshaw1126622@direct.novanthealth.org
• Direct secure messaging: mhenshaw1205712@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: mhenshaw@urologyspecialistsnc.emadirect.md

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.

• Wake Forest Emergency Providers

  • Multi-Specialty Clinic/Center
  • Statesville, NC
  • NPI 1396216735
  Medicare reassignment Care Compare group
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment Care Compare group

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

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health University City

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1346297892
  Care Compare affiliation
• Amedisys SC, L.L.C.

  dba Neighbors Care Home health Agency, an Amedisys Co.

  • Home Health Agency
  • Chester, SC
  • NPI 1629245808
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Chester Medical Center

  • General Acute Care Hospital
  • Chester, SC
  • NPI 1437622933
  Care Compare affiliation

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1851090070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 WARWICK CREST LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157360",
            "telephone_number": "703-539-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 WARWICK CREST LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157360",
            "telephone_number": "703-539-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "MAMIE",
        "middle_name": "RENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissandre Henry, FNP
• Octavia Saari Henry
• Shamir La Henry
• Tiffany Cherlene Henry, MA, LPC, NCC
• David C Henshaw, PH.D.
• Callista M Henson, R.PH
• Gala Cureton Henson, MD
• Karen N Henson
• Kyla Henson
• Quenton T Henson, OTRL

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.

Verify at the official NPI Registry.