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THERESA SUE HENDERSON APRN
NPI 1013583012
Nurse Practitioner - Family in Whitley City, KY

Active since June 01, 2021PECOS EnrolledAccepts Medicare Assignment
10 N HIGHWAY 27, WHITLEY CITY, KY 42653(606) 376-5363(606) 376-9919 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2022, Mar 3, 2022, Jun 1, 2021 (3 updates tracked since 2021).

About Theresa Sue Henderson Aprn NPPES

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

THERESA SUE HENDERSON APRN (NPI 1013583012) is an individual family provider in Whitley City, Kentucky, licensed in Kentucky (3016163) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013583012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA SUE HENDERSONCredential: APRN
Location Address10 N HIGHWAY 27Whitley City, KY 42653-6024
Mailing Address10 N Highway 27Whitley City, KY 42653-6024 · (606) 376-5363 · Fax (606) 376-9919
Phone(606) 376-5363
Fax(606) 376-9919
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 1, 2021
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1013583012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3016163
10 N HIGHWAY 27, Whitley City, KY 42653
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Sue Henderson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446637094
PECOS Enrollment IDI20220519002145
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
29 services17 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
19 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42653 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Henderson's NPI number?

The NPI number for Theresa Henderson is 1013583012. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Theresa Henderson located?

Theresa Henderson practices at 10 N Highway 27, Whitley City, KY 42653. The listed phone number is (606) 376-5363.

What is Theresa Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Henderson enrolled in Medicare?

Yes. Theresa Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Henderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Theresa Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Henderson affiliated with any hospitals?

According to CMS data, Theresa Henderson is affiliated with Baptist Health Corbin and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Henderson was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.