Chad M Henderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71006007A Issued in IN

Practice address

100 3Rd Ave W Ste 110
Bradenton, FL 34205-8641

Phone

(941) 708-9555

Fax

(941) 708-5465

NPI assigned

Dec 3, 2015

Sex

Male

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 5

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia and Pain Physicians of Florida, PAGroup PAC ID 7911804687, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: chad.henderson@rc.eclinicaldirectplus.com

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.

• Anesthesia and Pain Physicians of Florida, PA

  • Specialist
  • Bradenton, FL
  • NPI 1982815080
  Medicare reassignment Care Compare group NPD
• Independent Anesthesiologists, PLLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1841614674
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1881069797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058641",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058641",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342394501",
            "country_code": "US",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006007A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000985739",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JG667Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "RYIMI",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201339890",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4188885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Gaskins Helton, SLP
• Shalini Hemachandran
• Anthony R Hemmer, M.D.
• Tyler Gene Hemphill
• Carla Henderson
• Kerrie Ann Henderson, APRN
• Lisa Lynn Henderson, PTA
• Deborah F Hendon, RPH
• William B Hendrix, ARNP
• Christine Heng, PHARM.D

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.