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NICOLETTE HENDERSON PA-C
NPI 1174253058
Physician Assistant in Stow, OH

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicolette Henderson Pa-c NPPES

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

NICOLETTE HENDERSON PA-C (NPI 1174253058) is an individual physician assistant in Stow, Ohio, licensed in Ohio (50.007582) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174253058
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLETTE HENDERSONCredential: PA-C
Location Address4012 VIRA RDStow, OH 44224-3637
Mailing Address4012 Vira RdStow, OH 44224-3637
Phone(330) 389-4057
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1174253058 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 OH · 50.007582
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.
4012 VIRA RD, Stow, OH 44224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolette Henderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527436559
PECOS Enrollment IDI20221123001583
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 44224 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Nicolette Henderson's NPI number?

The NPI number for Nicolette Henderson is 1174253058. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Nicolette Henderson located?

Nicolette Henderson practices at 4012 Vira Rd, Stow, OH 44224. The listed phone number is (330) 389-4057.

What is Nicolette Henderson's specialty?

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

Is Nicolette Henderson enrolled in Medicare?

Yes. Nicolette Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicolette Henderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nicolette Henderson 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 Nicolette Henderson was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.