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ALYSSA JEAN HENRY
NPI 1124988191
Physician Assistant in Fargo, ND

Active since November 13, 2025PECOS Enrolled
2301 25TH ST S, FARGO, ND 58103(701) 417-6130(701) 280-4492 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Jean Henry NPPES

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

ALYSSA JEAN HENRY (NPI 1124988191) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (C1213) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1124988191
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA JEAN HENRY
Location Address2301 25TH ST SFargo, ND 58103-6104
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(701) 417-6130
Fax(701) 280-4492
Sole ProprietorNo
Enumeration DateNovember 13, 2025
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1124988191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ND · C1213
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2301 25TH ST S, Fargo, ND 58103
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Secondary Practice Location 1

Location 11200 E BroadwayColumbia, MO 65201-4979 · Phone (573) 442-2211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Jean Henry 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 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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.

JEREMIAH OTTESON MOTR/L
Occupational Therapist (Hand)
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 417-6222
PARKER LANOUE
Physician Assistant
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 234-7400
MORGAN ARZELLE CROVES NP
Nurse Practitioner
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 234-7400
INSTITUTE OF SPECIALTY SURGERY LLC
Clinic/Center (Ambulatory Surgical)
2301 25TH ST S, SUITE H
FARGO, ND 58103
Cass County (701) 271-1045
DENISE R KROKE PT
Physical Therapist
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 280-2212
NIKOLE LEE KOEHN MATRG, ATC
Specialist
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 417-6000
TERESA MARIE REINHOLZ PA-C
Physician Assistant (Surgical)
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 234-8770
J DONALD OPGRANDE PC
Orthopaedic Surgery (Hand Surgery)
2301 25TH ST S, SUITE G
FARGO, ND 58103
Cass County (701) 232-2848

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 Alyssa Henry's NPI number?

The NPI number for Alyssa Henry is 1124988191. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Alyssa Henry located?

Alyssa Henry practices at 2301 25th St S, Fargo, ND 58103. The listed phone number is (701) 417-6130.

What is Alyssa Henry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Henry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alyssa Henry was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.