NATHAN RAY HENDERSON M.D.
NPI 1013250182
Family Medicine in Dover, AR

Q: What is Nathan Henderson's NPI number?

The NPI number for Nathan Henderson is 1013250182. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Q: What is Nathan Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Henderson was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2013PECOS Enrolled

8970 MARKET ST, DOVER, AR 72837(479) 331-3880(479) 331-3788 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nathan Ray Henderson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN RAY HENDERSON M.D. (NPI 1013250182) is an individual family medicine provider in Dover, Arkansas, licensed in Arkansas (E8951) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013250182

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNATHAN RAY HENDERSONCredential: M.D.

Location Address8970 MARKET STDover, AR 72837-9110

Mailing Address8970 Market StDover, AR 72837-9110 · (479) 331-3880 · Fax (479) 331-3788

Phone(479) 331-3880

Fax(479) 331-3788

Sole ProprietorNo

Enumeration DateMarch 27, 2013

Last NPPES UpdateMay 10, 2017

✔ NPI 1013250182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E8951

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8970 MARKET ST, Dover, AR 72837

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Other Identifiers 2

Medicaid210379001AR

Medicare PIN438034YJS9AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Ray Henderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nathan Henderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mary's Physician Services LLC

7.8 mi

General Practice

101 SKYLINE DR
Russellville, AR 72801

Reassigned Medicare billing, Arkansas enrollment
Medicare enrollment name: St Marys Physician Services LLC
136 clinicians in this Medicare group

NPI 1124084991 (479) 968-2345

Mercy Hospital Paris

35 mi

Rural Health

303 S 5TH ST
Paris, AR 72855

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1912955709 (Arkansas)
159 clinicians in this Medicare group

NPI 1881106243 (479) 963-2132

Mercy Hospital Ozark

41 mi

Emergency Care

801 W RIVER ST
Ozark, AR 72949

Reassigned Medicare billing, Arkansas enrollment
147 clinicians in this Medicare group

NPI 1881642767 (479) 314-6100

Arkansas Emergency Staffing Solutions, Inc

123 mi

Emergency Medicine

2001 S MAIN ST
Hope, AR 71801

Reassigned Medicare billing, Arkansas enrollment
323 clinicians in this Medicare group

NPI 1275774630 (870) 777-2323

Ess Hospitalist LLC

169 mi

Hospitalist

1015 UNITY RD
Crossett, AR 71635

Reassigned Medicare billing, Arkansas enrollment
152 clinicians in this Medicare group

NPI 1881967305 (866) 931-8882

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers19 claims68 services$6.91 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers18 claims18 services$70.37 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers11 claims11 services$23.83 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

1 supplier18 claims18 services$22.49 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers25 claims150 services$3.22 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

2 suppliers13 claims13 services$14.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JACOBS APRN

Nurse Practitioner (Family)