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

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: October 25, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 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.

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.

Counselor (Mental Health)
5016 W GENESEE ST
CAMILLUS, NY 13031
Counselor (Mental Health)
5016 W GENESEE ST
CAMILLUS, NY 13031
Psychiatry & Neurology (Psychiatry)
5016 W GENESEE ST
CAMILLUS, NY 13031
Acupuncturist
5016 W GENESEE ST
CAMILLUS, NY 13031
Marriage & Family Therapist
5016 W GENESEE ST
CAMILLUS, NY 13031
Counselor (Mental Health)
5016 W GENESEE ST
CAMILLUS, NY 13031
Dietitian, Registered
5016 W GENESEE ST
CAMILLUS, NY 13031

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 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.

Where is Heather Henderson located?

Heather Henderson practices at 5016 W Genesee St, Camillus, NY 13031. The listed phone number is (315) 496-1020.

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.

Is Heather Henderson enrolled in Medicare?

Yes. Heather Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Henderson reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). The 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 Heather Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Henderson accept?

Health plans from Oscar Health list Heather Henderson 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 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 4 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.