MARQUITA HENSON PMHNP-BC
NPI 1194567594
Nurse Practitioner - Psychiatric/Mental Health in East Chicago, IN

Active since June 07, 2024PECOS EnrolledAccepts Medicare Assignment
4321 FIR ST, EAST CHICAGO, IN 46312(219) 392-7466 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Dec 31, 2024, Jun 7, 2024 (3 updates tracked since 2024).

About Marquita Henson Pmhnp-bc NPPES

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

MARQUITA HENSON PMHNP-BC (NPI 1194567594) is an individual psychiatric/mental health provider in East Chicago, Indiana, licensed in Indiana (71015488A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194567594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARQUITA HENSONCredential: PMHNP-BC
Location Address4321 FIR STEast Chicago, IN 46312-3049
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 7, 2024
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1194567594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IN · 71015488A✔ Licensed in IL · 209029666
4321 FIR ST, East Chicago, IN 46312

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

Marquita Henson Pmhnp-bc 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 ID5193266336
PECOS Enrollment IDI20240916001892
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 Reassignments

2

Medicare enrollment records show Marquita Henson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2121 E COLUMBUS DR
East Chicago, IN 46312
  • Reassigned Medicare billing, Indiana enrollment
  • 134 clinicians in this Medicare group
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 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.

Hospital Affiliations CMS Care Compare 2

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46312 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Nurse Anesthetist, Certified Registered
4321 FIR ST
EAST CHICAGO, IN 46312
Physical Therapist
4321 FIR ST
EAST CHICAGO, IN 46312
Audiologist
4321 FIR ST
EAST CHICAGO, IN 46312
Physical Therapist
4321 FIR ST
EAST CHICAGO, IN 46312
Long Term Care Hospital
4321 FIR ST, 4TH FLOOR
EAST CHICAGO, IN 46312
Emergency Medicine
4321 FIR ST
EAST CHICAGO, IN 46312
Audiologist
4321 FIR ST
EAST CHICAGO, IN 46312
Social Worker (Clinical)
4321 FIR ST
EAST CHICAGO, IN 46312

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 Marquita Henson's NPI number?

The NPI number for Marquita Henson is 1194567594. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Marquita Henson located?

Marquita Henson practices at 4321 Fir St, East Chicago, IN 46312. The listed phone number is (219) 392-7466.

What is Marquita Henson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marquita Henson enrolled in Medicare?

Yes. Marquita Henson 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 organizations bill Medicare for Marquita Henson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marquita Henson reassigns Medicare benefits to 2 organizations: Northshore Health Centers, Inc. (East Chicago, IN) and Community Care Network Inc (St John, IN). Each 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 Marquita Henson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marquita Henson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare list Marquita Henson 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 Marquita Henson affiliated with any hospitals?

According to CMS data, Marquita Henson is affiliated with St Catherine Hospital Inc and St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Marquita Henson was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.