ADAM HENDERSON
NPI 1356038376
Student in an Organized Health Care Education/Training Program in Elizabethtown, KY

Active since April 19, 2023PECOS EnrolledAccepts Medicare Assignment
3045 RING RD, ELIZABETHTOWN, KY 42701(502) 447-4500(270) 982-0846 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adam Henderson NPPES

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

ADAM HENDERSON (NPI 1356038376) is an individual student in an organized health care education/training program in Elizabethtown, Kentucky and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1356038376
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM HENDERSON
Location Address3045 RING RDElizabethtown, KY 42701-7933
Mailing Address6801 Dixie Hwy Ste 134Louisville, KY 40258-3952
Fax(270) 982-0846
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2023
Enumeration DateApril 19, 2023
Last NPPES UpdateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1356038376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 284549 (KY)
3045 RING RD, Elizabethtown, KY 42701

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

Adam 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 ID3870066715
PECOS Enrollment IDI20260623002066
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 Adam Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot & Ankle Surgery
7397 JEFFERSON BLVD
Louisville, KY 40219
  • Reassigned Medicare billing, Kentucky enrollment
  • 29 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.

Other Providers at the Same Location NPPES 5

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

Podiatrist (Foot & Ankle Surgery)
3045 RING RD
ELIZABETHTOWN, KY 42701
Podiatrist (Foot & Ankle Surgery)
3045 RING RD
ELIZABETHTOWN, KY 42701
Podiatrist (Foot & Ankle Surgery)
3045 RING RD
ELIZABETHTOWN, KY 42701
Podiatrist (Foot & Ankle Surgery)
3045 RING RD
ELIZABETHTOWN, KY 42701
Durable Medical Equipment & Medical Supplies
3045 RING RD
ELIZABETHTOWN, KY 42701

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 Adam Henderson's NPI number?

The NPI number for Adam Henderson is 1356038376. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Adam Henderson located?

Adam Henderson practices at 3045 Ring Rd, Elizabethtown, KY 42701. The listed phone number is (502) 447-4500.

What is Adam Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Henderson enrolled in Medicare?

Yes. Adam 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 organization bills Medicare for Adam Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Henderson reassigns Medicare benefits to Kentuckiana Foot & Ankle PLLC (Louisville, KY). 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 Adam Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Henderson accept?

Health plans from Anthem Blue Cross and Blue Shield list Adam 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 Adam Henderson was last updated on August 24, 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.