NILS HENNINGER M.D.
NPI 1295932374
Psychiatry & Neurology - Neurology in Worcester, MA
About Nils Henninger M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NILS HENNINGER M.D. (NPI 1295932374) is an individual neurology provider in Worcester, Massachusetts, licensed in Massachusetts (246739) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nils Henninger M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Nils Henninger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Nils Henninger's NPI number?
The NPI number for Nils Henninger is 1295932374. It was assigned to this individual provider in the NPPES registry on July 2, 2007.
Where is Nils Henninger located?
Nils Henninger practices at 55 Lake Ave N Department Of Neurology, Worcester, MA 01655. The listed phone number is (508) 334-2527.
What is Nils Henninger's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Nils Henninger enrolled in Medicare?
Yes. Nils Henninger 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.
Which organization bills Medicare for Nils Henninger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nils Henninger reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). 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 Nils Henninger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nils Henninger accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Nils Henninger 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 Nils Henninger affiliated with any hospitals?
According to CMS data, Nils Henninger is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Nils Henninger was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Nils Henninger, M.D. · NPI 1295932374
Neurology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 2, 2007.
## Identity
- **NPI:** 1295932374 (Entity type: Individual)
- **Enumerated:** July 2, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 246739 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, DEPARTMENT OF NEUROLOGY, Worcester, MA 01655-0002
- **Phone:** (508) 334-2527 · **Fax:** (508) 856-6778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 16, 2020
- **Other identifiers:** Medicaid 110092697A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295932374) · Data from the CMS NPPES public registry.