EDEN CHRISTIAN HENRY
NPI 1114509650
Pediatrics in Gallup, NM
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eden Christian Henry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Eden Henry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Rock Springs, WY 82901
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1558361949 (Wyoming)
- 176 clinicians in this Medicare group
Orlando, FL 32803
- Reassigned Medicare billing, Florida enrollment
- 3,005 clinicians in this Medicare group
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 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.
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.
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.
Which organizations bill Medicare for Eden Henry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eden Henry reassigns Medicare benefits to 3 organizations: Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM), Memorial Hospital Of Sweetwater County (Rock Springs, WY) and Florida Hospital Medical Group Inc (Orlando, FL). Each 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 Eden Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eden Henry accept?
Health plans from Blue Cross Blue Shield of Wyoming 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Eden Christian Henry · NPI 1114509650
Pediatrics physician in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1114509650 (Entity type: Individual)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 175086 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 E NIZHONI BLVD, Gallup, NM 87301-5748
- **Phone:** (505) 722-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dhhs,phs,naihs, Gallup Indian Medical Center (NPI 1225002322, Gallup, NM); Memorial Hospital Of Sweetwater County (NPI 1437312436, Rock Springs, WY); Florida Hospital Medical Group Inc (NPI 1225034234, Orlando, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114509650) · Data from the CMS NPPES public registry.