CAROL HENRY FNP
NPI 1104455716
Nurse Practitioner - Family in Longview, TX

Q: What is Carol Henry's NPI number?

The NPI number for Carol Henry is 1104455716. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Carol Henry'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 Carol Henry was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 06, 2020PECOS Enrolled

287 E CLIFFWOOD ST, LONGVIEW, TX 75603(903) 235-7539 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Carol Henry Fnp NPPES

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

CAROL HENRY FNP (NPI 1104455716) is an individual family provider in Longview, Texas, licensed in Texas (660141) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104455716

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAROL HENRYCredential: FNP

Location Address287 E CLIFFWOOD STLongview, TX 75603-7556

Mailing Address287 E Cliffwood StLongview, TX 75603-7556 · (903) 235-7539

Phone(903) 235-7539

Sole ProprietorYes

Enumeration DateApril 6, 2020

NPPES CertifiedApril 6, 2020

✔ NPI 1104455716 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 TX · 660141

287 E CLIFFWOOD ST, Longview, TX 75603

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Henry Fnp 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 Carol Henry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC

131 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Texas enrollment
1,246 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 75603 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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 Carol Henry's NPI number?

The NPI number for Carol Henry is 1104455716. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Carol Henry located?

Carol Henry practices at 287 E Cliffwood St, Longview, TX 75603. The listed phone number is (903) 235-7539.

What is Carol Henry's specialty?

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

Is Carol Henry enrolled in Medicare?

Yes. Carol Henry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Henry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Henry reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Carol Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Henry was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.