ALISON R HENTON CNP
NPI 1235503954
Clinical Nurse Specialist - Psychiatric/Mental Health in Cleveland, OH

Active since November 18, 2015PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
18697 BAGLEY RD, CLEVELAND, OH 44130(440) 816-8200 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2021, Nov 18, 2015 (2 updates tracked since 2015).

About Alison R Henton Cnp NPPES

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

ALISON R HENTON CNP (NPI 1235503954) is an individual psychiatric/mental health provider in Cleveland, Ohio, licensed in Ohio (NP-17976) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1235503954
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameALISON R HENTONCredential: CNP
Location Address18697 BAGLEY RDCleveland, OH 44130-3417
Mailing AddressPo Box 638269Cincinnati, OH 45263-8269
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 18, 2015
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1235503954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in OH · NP-17976
18697 BAGLEY RD, Cleveland, OH 44130

Secondary Practice Location 1

Location 17265 Old Oak BlvdCleveland, OH 44130-3342 · Phone (440) 816-5790

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 and accepts Medicare assignment

Alison R Henton Cnp 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 ID749581817
PECOS Enrollment IDI20151214002347
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
375 services61 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
50 services44 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
34 services34 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
23 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.91
Promoting Interoperability100
Improvement Activities40
Cost63.49

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.

Radiology (Diagnostic Radiology)
18697 BAGLEY RD, RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
Radiology (Diagnostic Radiology)
18697 BAGLEY RD, RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
Physical Medicine & Rehabilitation
18697 BAGLEY RD
MIDDLEBURG HTS, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Physician Assistant
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130

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 Alison Henton's NPI number?

The NPI number for Alison Henton is 1235503954. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Alison Henton located?

Alison Henton practices at 18697 Bagley Rd, Cleveland, OH 44130. The listed phone number is (440) 816-8200.

What is Alison Henton's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Alison Henton enrolled in Medicare?

Yes. Alison Henton 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.

What insurance does Alison Henton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Molina Healthcare and 3 other insurers list Alison Henton 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 Alison Henton affiliated with any hospitals?

According to CMS data, Alison Henton is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Alison Henton was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.