TAMARA HENDERSON
NPI 1114489879
Nurse Practitioner - Family in Flint, MI

Q: What is Tamara Henderson's NPI number?

The NPI number for Tamara Henderson is 1114489879. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Q: What is Tamara 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 Tamara Henderson was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 02, 2019PECOS Enrolled

G3494 BEECHER RD, FLINT, MI 48532(810) 309-9734 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Tamara Henderson NPPES

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

TAMARA HENDERSON (NPI 1114489879) is an individual family provider in Flint, Michigan, licensed in Michigan (4704312000) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114489879

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAMARA HENDERSON

Location AddressG3494 BEECHER RDFlint, MI 48532-2735

Mailing AddressG3494 Beecher RdFlint, MI 48532-2735 · (810) 309-9734

Phone(810) 309-9734

Sole ProprietorNo

Enumeration DateApril 2, 2019

✔ NPI 1114489879 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 MI · 4704312000

G3494 BEECHER RD, Flint, MI 48532

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara 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 48532 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

MICHIGAN HEALTH SPECIALIST, LLC

Family Medicine