EDEN CHRISTIAN HENRY
NPI 1114509650
Pediatrics in Gallup, NM

Active since April 23, 2021PECOS Enrolled
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2025, Aug 5, 2024, Apr 23, 2021 (3 updates tracked since 2021).

About Eden Christian Henry NPPES

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

EDEN CHRISTIAN HENRY (NPI 1114509650) is an individual pediatrics provider in Gallup, New Mexico, licensed in Florida (175086) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114509650
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEDEN CHRISTIAN HENRY
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address6102 Private Road 6470Lubbock, TX 79416-3351 · (806) 789-4871
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 23, 2021
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1114509650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in FL · 175086 Licensed in VT · 0420017989 Licensed in CO · CDR.0005149 Licensed in WY · TL8632 Licensed in TX · V6597
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

516 E NIZHONI BLVD, Gallup, NM 87301

Accepted 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)

Eden Christian Henry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800298522
PECOS Enrollment IDI20251007004175, I20251205002097
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 87301 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 20

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

Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301

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 Eden Henry's NPI number?

The NPI number for Eden Henry is 1114509650. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Eden Henry located?

Eden Henry practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Eden Henry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Eden Henry enrolled in Medicare?

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

What insurance does Eden Henry accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Eden Henry 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 Eden Henry was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.