Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

AMANDA SUSAN HENDERSON PMHNP-BC
NPI 1053122135
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since January 16, 2025PECOS Enrolled
1400 DOWELL SPRINGS BLVD STE 330, KNOXVILLE, TN 37909(608) 225-3958 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Susan Henderson Pmhnp-bc NPPES

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

AMANDA SUSAN HENDERSON PMHNP-BC (NPI 1053122135) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (39960) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053122135
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA SUSAN HENDERSONCredential: PMHNP-BC
Location Address1400 DOWELL SPRINGS BLVD STE 330Knoxville, TN 37909-2445
Mailing Address1400 Dowell Springs Blvd Ste 330Knoxville, TN 37909-2445
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1053122135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 39960
1400 DOWELL SPRINGS BLVD STE 330, Knoxville, TN 37909

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

Amanda Susan Henderson Pmhnp-bc 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 ID3375032584
PECOS Enrollment IDI20251028004788
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1400 DOWELL SPRINGS BLVD STE 330
KNOXVILLE, TN 37909
Counselor (Professional)
1400 DOWELL SPRINGS BLVD STE 330
KNOXVILLE, TN 37909

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 Amanda Henderson's NPI number?

The NPI number for Amanda Henderson is 1053122135. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Amanda Henderson located?

Amanda Henderson practices at 1400 Dowell Springs Blvd Ste 330, Knoxville, TN 37909. The listed phone number is (608) 225-3958.

What is Amanda Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Henderson enrolled in Medicare?

Yes. Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Henderson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.