JAMIE LYNN HENDERSON PMHNP
NPI 1194505206
Nurse Practitioner - Psychiatric/Mental Health in South Bend, IN
About Jamie Lynn Henderson Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIE LYNN HENDERSON PMHNP (NPI 1194505206) is an individual psychiatric/mental health provider in South Bend, Indiana, licensed in Indiana (28215294A) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Jamie Lynn Henderson Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jamie Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 734 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elkhart General Hospital
Acute Care Hospitals · Elkhart, INMemorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46601 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
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 Jamie Henderson's NPI number?
The NPI number for Jamie Henderson is 1194505206. It was assigned to this individual provider in the NPPES registry on October 5, 2023.
Where is Jamie Henderson located?
Jamie Henderson practices at 707 N Michigan St Ste 400, South Bend, IN 46601. The listed phone number is (574) 647-8470.
What is Jamie Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jamie Henderson enrolled in Medicare?
Yes. Jamie 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 Jamie Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Henderson reassigns Medicare benefits to Beacon Medical Group, Inc. (South Bend, IN). 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 Jamie Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jamie Henderson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jamie 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 Jamie Henderson affiliated with any hospitals?
According to CMS data, Jamie Henderson is affiliated with Elkhart General Hospital and Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Jamie Henderson was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jamie Lynn Henderson, PMHNP · NPI 1194505206
Psychiatric/Mental Health physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since October 5, 2023.
## Identity
- **NPI:** 1194505206 (Entity type: Individual)
- **Enumerated:** October 5, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 28215294A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 707 N MICHIGAN ST STE 400, South Bend, IN 46601-1071
- **Phone:** (574) 647-8470 · **Fax:** (574) 647-8475
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beacon Medical Group, Inc. (NPI 1629376645, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 8, 2024
- **Other identifiers:** Medicaid 300084195 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194505206) · Data from the CMS NPPES public registry.