JACQUELINE LEE HENRY APRN-NP
NPI 1063239846
Nurse Practitioner - Family in South Bend, IN
About Jacqueline Lee Henry Aprn-np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE LEE HENRY APRN-NP (NPI 1063239846) is an individual family provider in South Bend, Indiana, licensed in Oregon (10033768) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Vanderbilt University School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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
Jacqueline Lee Henry Aprn-np 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Medical Center - Bend
Acute Care Hospitals · Bend, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
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 Jacqueline Henry's NPI number?
The NPI number for Jacqueline Henry is 1063239846. It was assigned to this individual provider in the NPPES registry on September 24, 2024. The provider is also known as Jacqueline Lee Michuda Aprn-Np.
Where is Jacqueline Henry located?
Jacqueline Henry practices at 6301 University Commons, South Bend, IN 46635. The listed phone number is (574) 251-1210.
What is Jacqueline Henry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Henry enrolled in Medicare?
Yes. Jacqueline Henry 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 Jacqueline Henry accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline Henry 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 Jacqueline Henry affiliated with any hospitals?
According to CMS data, Jacqueline Henry is affiliated with St Charles Medical Center - Bend.
When was this NPI record last updated?
The NPPES record for Jacqueline Henry was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
