TERESA ROSE HENDERSON NURSE PRACTITIONER
NPI 1083496442
Nurse Practitioner - Family in Belmont, MA

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment
115 MILL ST, BELMONT, MA 02478(617) 855-2356 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Rose Henderson Nurse Practitioner NPPES

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

TERESA ROSE HENDERSON NURSE PRACTITIONER (NPI 1083496442) is an individual family provider in Belmont, Massachusetts, licensed in Massachusetts (RN262715) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083496442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA ROSE HENDERSONCredential: NURSE PRACTITIONER
Location Address115 MILL STBelmont, MA 02478-1064
Mailing Address115 Mill StBelmont, MA 02478-1064 · (617) 855-2356
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 19, 2023
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1083496442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN262715
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN262715 (MA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN262715 (MA)
115 MILL ST, Belmont, MA 02478

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 855-2354

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

Teresa Rose Henderson Nurse Practitioner 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 ID5092168674
PECOS Enrollment IDI20240131000242
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 02478 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Social Worker (Clinical)
115 MILL ST, MAILSTOP 137
BELMONT, MA 02478
Psychiatry & Neurology (Neurology)
115 MILL ST, MCLEAN HOSPITAL
BELMONT, MA 02478
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478

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 Teresa Henderson's NPI number?

The NPI number for Teresa Henderson is 1083496442. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Where is Teresa Henderson located?

Teresa Henderson practices at 115 Mill St, Belmont, MA 02478. The listed phone number is (617) 855-2356.

What is Teresa Henderson's specialty?

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

Is Teresa Henderson enrolled in Medicare?

Yes. Teresa 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 Teresa Henderson was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.