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VIVIAN E HENRY CRNP
NPI 1265967616
Nurse Practitioner in Lebanon, PA

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
775 NORMAN DR, LEBANON, PA 17042(717) 272-8173(717) 272-4029 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Apr 10, 2026, Feb 28, 2020 and 4 more (7 updates tracked since 2017).

About Vivian E Henry Crnp NPPES

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

VIVIAN E HENRY CRNP (NPI 1265967616) is an individual nurse practitioner in Lebanon, Pennsylvania, licensed in Pennsylvania (SP017648) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1265967616
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVIVIAN E HENRYCredential: CRNP
Location Address775 NORMAN DRLebanon, PA 17042-7497
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 272-8173
Fax(717) 272-4029
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateMay 6, 20267 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1265967616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP017648
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
775 NORMAN DR, Lebanon, PA 17042
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-8955 · Fax (717) 531-4587

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

Vivian E Henry Crnp 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 ID9335413640
PECOS Enrollment IDI20170926002158
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.

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

MR. NEIL BAKSH CRNP
Nurse Practitioner
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
ALEXIS MARIE CAMPBELL PA-C
Physician Assistant
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
MATTHEW HEFFERNAN
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
DR. TYLER FUGATE D.O.
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
MELISSA BALDWIN CRNP
Nurse Practitioner (Gerontology)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 272-8173
DR. PATRICE A. MCKENNEY MD
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
DR. SAMUEL KOLMAN MD
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
ADRIENNE S TOPIC M.D.
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500

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 Vivian Henry's NPI number?

The NPI number for Vivian Henry is 1265967616. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Vivian Henry located?

Vivian Henry practices at 775 Norman Dr, Lebanon, PA 17042. The listed phone number is (717) 272-8173.

What is Vivian Henry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vivian Henry enrolled in Medicare?

Yes. Vivian Henry 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.

Is Vivian Henry affiliated with any hospitals?

According to CMS data, Vivian Henry is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Vivian Henry was last updated on May 6, 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.