Cheryl Ann Henderson, FNP
Individual provider Active NPI Family Nurse Practitioner · Willow Spring, NC
NPI 1912178591 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1912178591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5003933 (NC)
- Practice address
- 8116 Mosby Way
Willow Spring, NC 27592 - Phone
- (919) 552-0578
- NPI assigned
- Mar 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Associates P.a., P.C.
Practice addresses (Care Compare)
2 Bernadine Dr
Newport News, VA 23602-4404
Phone (240) 686-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090617000686 | NC | Practitioner - Nurse Practitioner | 1557411261 | Reassigns benefits to 1 organization |
| I20171013001749 | VA | Practitioner - Nurse Practitioner | 1557411261 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5003933 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Emergency Medical Care, LTD. | Current |
Accepting new patients | |
| The Carolinas Emergency Group, PLLC | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Emergency Physicians of Tidewater | Current |
Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Wilson Emergency Physician Partners PLLC | Current |
Accepting new patients | |
| Tidewater Emergency Medical Care | Past |
Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
3920 Bridge Rd
Suffolk, VA 23435
Phone (757) 668-4114
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5003933 | NC | Yes |
Addresses
Primary practice location
8116 Mosby Way
Willow Spring, NC 27592
Mailing address
8116 Mosby Way
Willow Spring, NC 27592
Phone (919) 552-0578
Other providers in Willow Spring, NC
- Dr Alan L Byrd and Associates of Angier OD PA
- Jennifer Easley
- Wanda Nicole Eason-Melvin
- Pamela Formyduval
- Tegran Osafu Fraites
- Thomas Bradley Hiatt
- House of Care, Inc
- Impact Youth and Family Services, Inc.
- Benjamin Ingraham
- Kisha Monique Lendore
All providers in Willow Spring, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.