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CASSANDRA JANE HENDERSON
NPI 1184396848
Nurse Practitioner in San Angelo, TX

Active since October 01, 2021PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903(325) 747-2388(325) 747-2389 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2025, Oct 1, 2021 (2 updates tracked since 2021).

About Cassandra Jane Henderson NPPES

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

CASSANDRA JANE HENDERSON (NPI 1184396848) is an individual nurse practitioner in San Angelo, Texas, licensed in Texas (1049417) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Val Verde Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184396848
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCASSANDRA JANE HENDERSON
Location Address120 E BEAUREGARD AVESan Angelo, TX 76903-5919
Mailing Address120 E Beauregard AveSan Angelo, TX 76903-5919 · (325) 747-2388
Phone(325) 747-2388
Fax(325) 747-2389
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 1, 2021
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1184396848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1049417
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 E BEAUREGARD AVE, San Angelo, TX 76903
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Jane Henderson 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 ID3678963659
PECOS Enrollment IDI20211206002669
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.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shannon Clinic
Same address
Family Medicine
120 E BEAUREGARD AVE
San Angelo, TX 76903
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1770587149 (325) 658-1511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
341 services185 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services118 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
110 services68 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
16 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Heart Of Texas Memorial Hospital

Critical Access Hospitals · Brady, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451348
Location2008 Nine RoadBrady, TX 76825 · Mc Culloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

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.

MAEGIN M CARLILE FNP
Nurse Practitioner
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
IRVIN E. ZEITLER JR. DO
Family Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
DR. CHARLES E. GREESON M.D.
Dermatology
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
CHARLES M JONES MD
Internal Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 481-2198
SCOTT WESTMORELAND DPM
Podiatrist
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
LINA M QUAN-ASTON PA
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
BRANDI L WHITEHEAD P.A.
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
AEMI TIEMO MD
Student in an Organized Health Care Education/Training Program
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-4820

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 Cassandra Henderson's NPI number?

The NPI number for Cassandra Henderson is 1184396848. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Cassandra Henderson located?

Cassandra Henderson practices at 120 E Beauregard Ave, San Angelo, TX 76903. The listed phone number is (325) 747-2388.

What is Cassandra Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cassandra Henderson enrolled in Medicare?

Yes. Cassandra 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.

Which organization bills Medicare for Cassandra Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Henderson reassigns Medicare benefits to Shannon Clinic (San Angelo, TX). The 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 Cassandra Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassandra Henderson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Cassandra 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.

Is Cassandra Henderson affiliated with any hospitals?

According to CMS data, Cassandra Henderson is affiliated with Val Verde Regional Medical Center, Shannon Medical Center and Heart Of Texas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cassandra Henderson was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.