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JANE HENDERSON
NPI 1093204323
Nurse Practitioner - Family in Mansfield, OH

Active since May 02, 2018PECOS Enrolled
540 S TRIMBLE RD, MANSFIELD, OH 44906(419) 522-5454 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2026, Dec 12, 2024, May 2, 2018 (3 updates tracked since 2018).

About Jane Henderson NPPES

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

JANE HENDERSON (NPI 1093204323) is an individual family provider in Mansfield, Ohio, licensed in Ohio (APRN.CNP.022335) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains 17 additional practice locations.

NPPES Registry Identity

NPI1093204323
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANE HENDERSON
Location Address540 S TRIMBLE RDMansfield, OH 44906-3418
Mailing Address2139 Random DrMansfield, OH 44904-1689
Phone(419) 522-5454
Sole ProprietorNo
Enumeration DateMay 2, 2018
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1093204323 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 OH · APRN.CNP.022335
540 S TRIMBLE RD, Mansfield, OH 44906
Open in Google Maps ↗

Secondary Practice Locations 17

Location 11390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-2000
Location 2441 Industrial Mile RdColumbus, OH 43228-2458 · Phone (614) 722-2000
Location 3579 S Yearling RdColumbus, OH 43213-2874 · Phone (614) 722-2000
Location 426 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000
Location 51777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-2000
Location 6433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-2000
Location 74560 Morse Centre RdColumbus, OH 43229-6602 · Phone (614) 722-2000
Location 82857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-2000
Location 92599 S Hamilton RdColumbus, OH 43232-4964 · Phone (614) 722-6200
Location 10380 Butterfly Gardens DrColumbus, OH 43215-7508 · Phone (614) 722-2000
Location 111657 Georgesville Square DrColumbus, OH 43228-3689 · Phone (614) 722-2000
Location 121405 S High StColumbus, OH 43207-1043 · Phone (614) 722-2000
Location 133553 Cleveland AveColumbus, OH 43224-2909 · Phone (614) 722-2000
Location 141125 E Main StColumbus, OH 43205-1931 · Phone (614) 722-2000
Location 155070 N High StColumbus, OH 43214-1526 · Phone (614) 722-2000
Location 16882 S Hamilton RdColumbus, OH 43213-3003 · Phone (614) 722-2000
Location 174766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-2000

Other Identifiers 1

Medicaid0303757OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Henderson 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.

Medicare Billing Reassignment

Medicare enrollment records show Jane Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Academic Association, Inc.
59 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

COLLEEN J MCKINNEY M.D.
Pediatrics
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
CHILDREN'S COMMUNITY PRACTICES, LLC
Pediatrics
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
MRS. HOLLY J WEBSTER RN
Nurse Practitioner (Pediatrics)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
MRS. CASSONDRA SUE STAUFFER NP-C
Nurse Practitioner (Family)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
KACEY D CONLAN LPCC-S
Counselor (Professional)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
EMILY FORTHOFER
Nurse Practitioner (Pediatrics)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454

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 Jane Henderson's NPI number?

The NPI number for Jane Henderson is 1093204323. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Jane Henderson located?

Jane Henderson practices at 540 S Trimble Rd, Mansfield, OH 44906. The listed phone number is (419) 522-5454.

What is Jane Henderson's specialty?

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

Is Jane Henderson enrolled in Medicare?

Yes. Jane Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jane Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Henderson reassigns Medicare benefits to Pediatric Academic Association, Inc. (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jane Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jane Henderson accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Jane 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 Jane Henderson was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.