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

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: October 25, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Michigan Family Medicine And Urgent Care
44 mi
Family Medicine
13811 MYRTLE DR
Dewitt, MI 48820
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
NPI 1497225403 (989) 400-2889

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 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
G3494 BEECHER RD
FLINT, MI 48532
Genesee County (810) 309-9734
DR. EDWARD JOHN CONLEY D.O.
Family Medicine (Adult Medicine)
G3494 BEECHER RD
FLINT, MI 48532
Genesee County (810) 230-8677
RACHEL GALE KENNEDY NURSE PRACTITIONER
Family Medicine
G3494 BEECHER RD
FLINT, MI 48532
Genesee County (810) 309-9734
NP ADVANTAGE HEALTH SERVICES LLC
Family Medicine
G3494 BEECHER RD
FLINT, MI 48532
Genesee County (810) 309-9734
EDWARD J CONLEY DO PC
Family Medicine
G3494 BEECHER RD
FLINT, MI 48532
Genesee County (810) 230-8677
ABIGAIL M DAVIS NP
Nurse Practitioner
G3494 BEECHER RD
FLINT, MI 48532
Genesee County (810) 309-9734

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 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.

Where is Tamara Henderson located?

Tamara Henderson practices at G3494 Beecher Rd, Flint, MI 48532. The listed phone number is (810) 309-9734.

What is Tamara Henderson's specialty?

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

Is Tamara Henderson enrolled in Medicare?

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

Which organization bills Medicare for Tamara Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Henderson reassigns Medicare benefits to Michigan Family Medicine And Urgent Care (Dewitt, MI). 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 Tamara Henderson'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 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.