AMANDA JAQUAY HENDERSON
NPI 1407642689
Nurse Practitioner - Family in Stafford, TX
About Amanda Jaquay Henderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA JAQUAY HENDERSON (NPI 1407642689) is an individual family provider in Stafford, Texas, licensed in Texas (1193342) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Amanda Jaquay 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amanda Henderson's NPI number?
The NPI number for Amanda Henderson is 1407642689. It was assigned to this individual provider in the NPPES registry on April 16, 2025.
Where is Amanda Henderson located?
Amanda Henderson practices at 10707 Corporate Dr Ste 140, Stafford, TX 77477. The listed phone number is (409) 996-1351.
What is Amanda Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Henderson enrolled in Medicare?
Yes. Amanda 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.
What insurance does Amanda Henderson accept?
Health plans from Blue Cross and Blue Shield of Texas list Amanda 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 Amanda Henderson was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Amanda Jaquay Henderson · NPI 1407642689
Family physician in Stafford, Texas. Individual provider, active in the CMS NPPES registry since April 16, 2025.
## Identity
- **NPI:** 1407642689 (Entity type: Individual)
- **Enumerated:** April 16, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1193342 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10707 CORPORATE DR STE 140, Stafford, TX 77477-4092
- **Phone:** (409) 996-1351
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407642689) · Data from the CMS NPPES public registry.