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DR. KELLEY MARIE HENSON N.P.
NPI 1205060415
Nurse Practitioner - Pediatrics in Cannon Afb, NM

Active since May 04, 2009PECOS Enrolled
224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103(757) 225-6611 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelley Marie Henson N.p. NPPES

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

DR. KELLEY MARIE HENSON N.P. (NPI 1205060415) is an individual pediatrics provider in Cannon Afb, New Mexico, licensed in Virginia (0024169514) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205060415
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. KELLEY MARIE HENSONCredential: N.P.
Location Address224 W D. L. INGRAM AVENUE, BLDG. 1408Cannon Afb, NM 88103
Mailing Address224 W D. L. Ingram Avenue, Bldg. 1408Cannon Afb, NM 88103 · (757) 902-7154
Phone(757) 225-6611
Sole ProprietorNo
Enumeration DateMay 4, 2009
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1205060415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in VA · 0024169514✔ Licensed in TN · APN13239
224 W D. L. INGRAM AVENUE, Cannon Afb, NM 88103
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Other Identifiers 5

Other1508825902TN · James Batson Npi
Medicaid1512646TN
Other1538173471TN · Cookeville Pediatric Associates
Medicaid1517710TN
Medicaid3897667TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelley Marie Henson N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 88103 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 7

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

DR. TAYLOR A WATERS PT,DPT
Physical Therapist
224 W D. L. INGRAM AVENUE, BLDG 1408
CANNON AFB, NM 88103
Curry County (540) 692-4484
DR. DANIEL HURTT MD
Family Medicine
224 W D. L. INGRAM AVENUE, BLDG 1408
CANNON AFB, NM 88103
Curry County (575) 904-3961
DR. ANAR J PATEL MD
Preventive Medicine (Aerospace Medicine)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Curry County (575) 904-3917
KELLY AMANDA SCHNEIDER DDS
Dentist
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Curry County (920) 973-8885
STEPHANIE PAIGE SYNHORST
Dietitian, Registered
224 W D. L. INGRAM AVENUE
CANNON AIR FORCE BASE, NM 88103
Curry County (402) 310-2933
DR. SARAH ALICIA PAULSON PT, DPT
Physical Therapist
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Curry County (575) 784-2778
MIAH SELENA EIDENSCHINK LCSW
Social Worker (Clinical)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Curry County (575) 904-3911

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 Kelley Henson's NPI number?

The NPI number for Kelley Henson is 1205060415. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Where is Kelley Henson located?

Kelley Henson practices at 224 W D. L. Ingram Avenue Bldg. 1408, Cannon Afb, NM 88103. The listed phone number is (757) 225-6611.

What is Kelley Henson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelley Henson enrolled in Medicare?

Yes. Kelley Henson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Henson was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.