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JESSICA LYNN HENDERSON D.O.
NPI 1174745665
Anesthesiology in Raleigh, NC

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4420 LAKE BOONE TRAIL, RALEIGH, NC 27607(919) 784-3100 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Lynn Henderson D.o. NPPES

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

JESSICA LYNN HENDERSON D.O. (NPI 1174745665) is an individual anesthesiology provider in Raleigh, North Carolina, licensed in North Carolina (2010-00808) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1174745665
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameJESSICA LYNN HENDERSONCredential: D.O.
Location Address4420 LAKE BOONE TRAILRaleigh, NC 27607-2360
Mailing Address3100 Spring Forest Rd, Suite 130Raleigh, NC 27616-2880 · (919) 873-9533
Phone(919) 784-3100
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2006
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1174745665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NC · 2010-00808
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4420 LAKE BOONE TRAIL, Raleigh, NC 27607
Open in Google Maps ↗

Other Identifiers 1

Medicaid1174745665NC

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

Jessica Lynn Henderson D.o. 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 ID5799817391
PECOS Enrollment IDI20100717000045
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
18 services18 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
15 services15 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services12 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
12 services12 patients
Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942
Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.
12 services12 patients
Anesthesia for other procedure on lower spine 00630
Anesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

LISA F DEJARNETTE MD
Internal Medicine
4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
Wake County (919) 784-7093
DR. MATTHEW ATKINS M.D.
Anesthesiology
4420 LAKE BOONE TRAIL, REX HEALTHCARE
RALEIGH, NC 27607
Wake County (919) 873-9533
MRS. KIMBERLY TOWNES SODEN CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
Wake County (919) 784-3034
JINAL BHARATKUMAR DESAI MD
Hospitalist
4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
Wake County (919) 784-3100
JASON KAPLAN RN
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
Wake County (919) 784-3034
DR. ELIZABETH BEACH MCNEELY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4420 LAKE BOONE TRAIL, REX HOSPITAL PHARMACY DEPARTMENT
RALEIGH, NC 27607
Wake County (919) 784-1369
NATHALIE KIM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
Wake County (919) 784-3100
TIFFANY KINTON CARTER CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
Wake County (919) 784-3100

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 Jessica Henderson's NPI number?

The NPI number for Jessica Henderson is 1174745665. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jessica Henderson located?

Jessica Henderson practices at 4420 Lake Boone Trail, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is Jessica Henderson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jessica Henderson enrolled in Medicare?

Yes. Jessica 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.

Is Jessica Henderson affiliated with any hospitals?

According to CMS data, Jessica Henderson is affiliated with Vidant Edgecombe Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Henderson was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.