Individual provider Active NPI

Carey Michael Henson, MSN, FNP-C

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1962343624
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2581102 Issued in ID
Practice address
4740 N Penngrove Way
Meridian, ID 83646-7443
Phone
(208) 938-3663
Fax
(208) 938-3664
NPI assigned
Apr 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2581102 ID Primary

Addresses

Primary practice location

4740 N Penngrove Way
Meridian, ID 83646-7443

Mailing address

3245 N Wing Rd
Star, ID 83669-5146
Phone (208) 871-5869

Other practice location 1

219 S Wooddale Ave
Eagle, ID 83616-7714
Phone (208) 994-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3245 N Wing Rd
Star, ID 83669-5146

4740 N Penngrove Way
Suite 100
Meridian, ID 83646-7446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2581102IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Family Medicine PLLC CurrentSince Jun 19, 2026 Accepting new patients

Locations

4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone (208) 938-3663

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBGCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1962343624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 N WING RD",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695146",
            "telephone_number": "208-871-5869",
            "fax_number": "208-871-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N PENNGROVE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467443",
            "telephone_number": "208-938-3663",
            "fax_number": "208-938-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 S Wooddale Ave",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836167714",
            "country_code": "US",
            "telephone_number": "208-994-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "CAREY",
        "middle_name": "MICHAEL",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "2581102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.