BRANDY DAVINA HENDERSON RN,FNP, PMHNP
NPI 1316452253
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Active since December 13, 2017PECOS EnrolledAccepts Medicare Assignment
4950 NORTHCUTT PL, DAYTON, OH 45414(937) 496-2020(937) 496-2016 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2024, Aug 13, 2024, Feb 16, 2023 and 2 more (5 updates tracked since 2017).

About Brandy Davina Henderson Rn,fnp, Pmhnp NPPES

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

BRANDY DAVINA HENDERSON RN,FNP, PMHNP (NPI 1316452253) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.026361) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Blue Ash, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316452253
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRANDY DAVINA HENDERSONCredential: RN,FNP, PMHNP
Location Address4950 NORTHCUTT PLDayton, OH 45414-3840
Mailing Address9775 Colerain AveCincinnati, OH 45251-1442 · (513) 853-9700 · Fax (513) 852-8971
Fax(937) 496-2016
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 13, 2017
Last NPPES UpdateFebruary 23, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1316452253 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 OH · APRN.CNP.026361
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RP277614 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP.026361 (OH)
4950 NORTHCUTT PL, Dayton, OH 45414

Secondary Practice Location 1

Location 111690 Grooms RdBlue Ash, OH 45242-1412 · Phone (812) 284-2273 · Fax (812) 284-2279

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

Brandy Davina Henderson Rn,fnp, Pmhnp 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 ID2365831369
PECOS Enrollment IDI20211112001470
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 Reassignments

7

Medicare enrollment records show Brandy Henderson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
600 WAYNE AVE
Dayton, OH 45410
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
Community Health
4605 MONTGOMERY RD
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
Internal Medicine
1701 SPRING ST, SUITE B
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
Community/Behavioral Health
150 SPRINGSIDE DR STE 350C
Fairlawn, OH 44333
  • Reassigned Medicare billing, Ohio enrollment
  • 53 clinicians in this Medicare group
Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 713 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Ohio enrollment
  • 59 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Ohio enrollment
  • 59 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 45414 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Case Manager/Care Coordinator
4950 NORTHCUTT PL
DAYTON, OH 45414
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Nurse Practitioner (Family)
4950 NORTHCUTT PL
DAYTON, OH 45414
Registered Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Registered Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414

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 Brandy Henderson's NPI number?

The NPI number for Brandy Henderson is 1316452253. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Brandy Henderson located?

Brandy Henderson practices at 4950 Northcutt Pl, Dayton, OH 45414. The listed phone number is (937) 496-2020.

What is Brandy Henderson's specialty?

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

Is Brandy Henderson enrolled in Medicare?

Yes. Brandy Henderson 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 organizations bill Medicare for Brandy Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Henderson reassigns Medicare benefits to 7 organizations: Eastway Corporation (Dayton, OH), Trihealth U LLC (Cincinnati, OH), Total Care Family Practice Rick Bobay LLC (Jeffersonville, IN), Beyond Behavioral Healthcare, LLC (Fairlawn, OH), Psychological & Behavioral Consultants, LLC (Beachwood, OH) and 2 more organizations, listed in the Medicare section above. Each 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 Brandy Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandy Henderson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Brandy 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 Brandy Henderson was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.