SANDRA M HENDERSON FNP
NPI 1033664503
Nurse Practitioner - Family in Johnson City, TN

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
1627 OLD GRAY STATION RD, JOHNSON CITY, TN 37615(423) 282-3376(423) 791-8388 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2023, Mar 1, 2021, Jan 19, 2021 and 2 more (5 updates tracked since 2016).

About Sandra M Henderson Fnp NPPES

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

SANDRA M HENDERSON FNP (NPI 1033664503) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (21628) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2016).

NPPES Registry Identity

NPI1033664503
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA M HENDERSONCredential: FNP
Location Address1627 OLD GRAY STATION RDJohnson City, TN 37615-4193
Mailing Address1627 Old Gray Station RdJohnson City, TN 37615-4193 · (423) 282-3376 · Fax (423) 791-8388
Fax(423) 791-8388
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2016
Enumeration DateAugust 24, 2016
Last NPPES UpdateJuly 26, 20235 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
NPI 1033664503 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 TN · 21628
1627 OLD GRAY STATION RD, Johnson City, TN 37615

Other Identifiers 1

MedicaidQ044000TN

Accepted 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

Sandra M Henderson Fnp 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 ID6002242740
PECOS Enrollment IDI20200129000059
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 17

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,576 services320 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
706 services561 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
528 services435 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
278 services260 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
236 services205 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
190 services190 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.74
Improvement Activities40
Cost64.37

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
1627 OLD GRAY STATION RD, STE 4
JOHNSON CITY, TN 37615

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 Sandra Henderson's NPI number?

The NPI number for Sandra Henderson is 1033664503. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Sandra Henderson located?

Sandra Henderson practices at 1627 Old Gray Station Rd, Johnson City, TN 37615. The listed phone number is (423) 282-3376.

What is Sandra Henderson's specialty?

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

Is Sandra Henderson enrolled in Medicare?

Yes. Sandra 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 Sandra Henderson accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Sandra 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.

When was this NPI record last updated?

The NPPES record for Sandra Henderson was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.