CARMEN RENEE GRANDE HENKE CNNP
NPI 1205892833
Nurse Practitioner - Neonatal in St Paul, MN

Active since April 22, 2006PECOS Enrolled
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC NICU, ST PAUL, MN 55102(651) 220-6210(651) 220-7777 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carmen Renee Grande Henke Cnnp NPPES

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

CARMEN RENEE GRANDE HENKE CNNP (NPI 1205892833) is an individual neonatal provider in St Paul, Minnesota, licensed in Minnesota (R1475155) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205892833
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameCARMEN RENEE GRANDE HENKECredential: CNNP
Location Address347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC NICUSt Paul, MN 55102
Mailing Address2910 Centre Pointe Drive, 35 121aRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310
Fax(651) 220-7777
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateDecember 19, 2016
NPI 1205892833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in MN · R1475155
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License R1475155 (MN)
347 NORTH SMITH AVENUE, St Paul, MN 55102

Other Identifiers 1

Medicaid318656300MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carmen Renee Grande Henke Cnnp 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 55102 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 Practitioner
347 NORTH SMITH AVENUE, 401 MIDWEST CHILDRENS RESOURCE CENTER
ST PAUL, MN 55102
Nurse Practitioner (Pediatrics)
347 NORTH SMITH AVENUE, MAIL STOP #70-302, GARDEN VIEW MEDICAL BUILDING
ST. PAUL, MN 55102
Clinical Neuropsychologist
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL
ST PAUL, MN 55102
Pediatrics (Pediatric Hematology-Oncology)
347 NORTH SMITH AVENUE
ST PAUL, MN 55102
Nurse Practitioner (Pediatrics)
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC NICU FOLLOW UP CLINIC
ST PAUL, MN 55102
Nurse Practitioner (Neonatal, Critical Care)
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC - NICU
ST PAUL, MN 55102
Nurse Practitioner (Neonatal)
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC NICU
ST. PAUL, MN 55102
Clinical Neuropsychologist
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES
ST PAUL, MN 55102

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 Carmen Henke's NPI number?

The NPI number for Carmen Henke is 1205892833. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Carmen Henke located?

Carmen Henke practices at 347 North Smith Avenue Childrens Specialty Clinic Nicu, St Paul, MN 55102. The listed phone number is (651) 220-6210.

What is Carmen Henke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Carmen Henke enrolled in Medicare?

Yes. Carmen Henke is registered in the Medicare PECOS enrollment system.

What insurance does Carmen Henke accept?

Health plans from Medica list Carmen Henke 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.

When was this NPI record last updated?

The NPPES record for Carmen Henke was last updated on December 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.