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

Q: 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.

Q: What is Jane Henderson's specialty?

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

Q: 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 5 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.

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: August 16, 2026.

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

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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.

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

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Other Identifiers 1

Medicaid0303757OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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