JORDAN-NOEL BREEON HENDERSON
NPI 1306576590
Nurse Anesthetist, Certified Registered in Madison, AL

Q: What is Jordan-noel Henderson's NPI number?

The NPI number for Jordan-noel Henderson is 1306576590. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Jordan-noel Henderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since June 13, 2022Accepts Medicare Assignment

8375 HIGHWAY 72 W, MADISON, AL 35758(256) 265-2012 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan-noel Breeon Henderson NPPES

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

JORDAN-NOEL BREEON HENDERSON (NPI 1306576590) is an individual nurse anesthetist, certified registered in Madison, Alabama, licensed in Alabama (138092) and active in the NPI registry since June 2022. She is affiliated with Jewish Hospital & St Mary's Healthcare and is a graduate of University Of Alabama School Of Medicine (2022).

NPPES Registry Identity

NPI1306576590

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJORDAN-NOEL BREEON HENDERSON

Location Address8375 HIGHWAY 72 WMadison, AL 35758-9573

Mailing Address8375 Highway 72 WMadison, AL 35758-9573 · (256) 265-2012

Phone(256) 265-2012

Sole ProprietorYes

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2022

Enumeration DateJune 13, 2022

NPPES CertifiedMay 26, 2022

✔ NPI 1306576590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AL · 138092

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

8375 HIGHWAY 72 W, Madison, AL 35758

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, CareSource.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

Jordan-noel Breeon Henderson 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 ID5991188021

PECOS Enrollment IDI20220822003169, I20250630000699

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

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. RICKY JEREMY CARWILE CRNP

Nurse Practitioner (Acute Care)