MRS. HEATHER K HENDERSON NURSE PRACTITIONER
NPI 1255589909
Nurse Practitioner - Psychiatric/Mental Health in Camillus, NY

Q: What is Heather Henderson's NPI number?

The NPI number for Heather Henderson is 1255589909. It was assigned to this individual provider in the NPPES registry on September 7, 2008.

Q: What is Heather Henderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Henderson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 07, 2008PECOS Enrolled

5016 W GENESEE ST, CAMILLUS, NY 13031(315) 496-1020(315) 226-7236 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Heather K Henderson Nurse Practitioner NPPES

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

MRS. HEATHER K HENDERSON NURSE PRACTITIONER (NPI 1255589909) is an individual psychiatric/mental health provider in Camillus, New York, licensed in New York (F401141) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255589909

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. HEATHER K HENDERSONCredential: NURSE PRACTITIONER

Location Address5016 W GENESEE STCamillus, NY 13031-2356

Mailing Address5016 W Genesee StCamillus, NY 13031-2356 · (315) 496-1020 · Fax (315) 226-7236

Phone(315) 496-1020

Fax(315) 226-7236

Sole ProprietorYes

Enumeration DateSeptember 7, 2008

Last NPPES UpdateJune 3, 2026

NPPES CertifiedJune 3, 2026

✔ NPI 1255589909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F401141

Also ListedRegistered NurseTaxonomy 163W00000X · License 552060 (NY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License F401141-1 (NY)

5016 W GENESEE ST, Camillus, NY 13031

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Heather K Henderson Nurse Practitioner 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 13031 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

JESSICA LYNN PAGAN MS, LMHC, NCC

Counselor (Mental Health)