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MRS. CATHIE SUE HENNEBERRY F.N.P., APRN-BC, MSN
NPI 1053398909
Nurse Practitioner - Family in Williston, ND

Active since December 30, 2005PECOS Enrolled
1213 15TH AVE W, WILLISTON, ND 58801(701) 572-7651 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2019, Feb 5, 2019 (2 updates tracked since 2019).

About Mrs. Cathie Sue Henneberry F.n.p., Aprn-bc, Msn NPPES

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

MRS. CATHIE SUE HENNEBERRY F.N.P., APRN-BC, MSN (NPI 1053398909) is an individual family provider in Williston, North Dakota, licensed in North Dakota (R36163) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053398909
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CATHIE SUE HENNEBERRYCredential: F.N.P., APRN-BC, MSN
Location Address1213 15TH AVE WWilliston, ND 58801
Mailing Address1213 15th Ave WWilliston, ND 58801-3800 · (701) 572-7651
Phone(701) 572-7651
Sole ProprietorYes
Enumeration DateDecember 30, 2005
Last NPPES UpdateApril 15, 20192 updates tracked since enumeration
✔ NPI 1053398909 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
Licenses✔ Licensed in ND · R36163✔ Licensed in MT · RN26836
1213 15TH AVE W, Williston, ND 58801
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Other Names 1

Former Name (1)Mrs. Cathie Sue Gwin-henneberry Fnp-bc

Other Identifiers 1

Medicaid1476052ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Cathie Sue Henneberry F.n.p., Aprn-bc, Msn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 20

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

VICKI HAUGE
Technician/Technologist (Optician)
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7641
MR. WAYNE L ANDERSON MD
Surgery
1213 15TH AVE W, SUITE 200
WILLISTON, ND 58801
Williams County (701) 572-4003
JOSEPH E ADDUCCI, PC
Obstetrics & Gynecology
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-0316
DR. ROBERT G. KEMP M.D.
Family Medicine
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7651
GINA K WESTERSO
Technician/Technologist (Optician)
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7641
INES A TEUMA NGUIMFACK MD
Family Medicine
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7651
DR. CHRISTINE J HOGLUND DO
Pain Medicine (Pain Medicine)
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7651
CHARLENE R THOMPSON
Technician/Technologist (Optician)
1213 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7641

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 Cathie Henneberry's NPI number?

The NPI number for Cathie Henneberry is 1053398909. It was assigned to this individual provider in the NPPES registry on December 30, 2005. The provider is also known as Mrs. Cathie Sue Gwin-Henneberry Fnp-Bc.

Where is Cathie Henneberry located?

Cathie Henneberry practices at 1213 15th Ave W, Williston, ND 58801. The listed phone number is (701) 572-7651.

What is Cathie Henneberry's specialty?

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

Is Cathie Henneberry enrolled in Medicare?

Yes. Cathie Henneberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cathie Henneberry was last updated on April 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.