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DR. STACY HENDERSON M.D.
NPI 1457618316
Surgery - Plastic and Reconstructive Surgery in New Orleans, LA

Active since April 17, 2012PECOS EnrolledAccepts Medicare Assignment
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130(504) 899-2800(504) 899-2700 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, May 23, 2022 (2 updates tracked since 2022).

About Dr. Stacy Henderson M.d. NPPES

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

DR. STACY HENDERSON M.D. (NPI 1457618316) is an individual plastic and reconstructive surgery provider in New Orleans, Louisiana, licensed in Colorado (DR.0071172) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Indiana University School Of Medicine (2012).

NPPES Registry Identity

NPI1457618316
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. STACY HENDERSONCredential: M.D.
Location Address1717 SAINT CHARLES AVENew Orleans, LA 70130-5223
Mailing Address1717 Saint Charles AveNew Orleans, LA 70130-5223 · (504) 899-2800 · Fax (504) 899-2700
Phone(504) 899-2800
Fax(504) 899-2700
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2012
Enumeration DateApril 17, 2012
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1457618316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in CO · DR.0071172✔ Licensed in LA · 312344
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1717 SAINT CHARLES AVE, New Orleans, LA 70130
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11501 E 3rd StDelta, CO 81416-2815 · Phone (970) 874-7681
Location 295 Stafford LnDelta, CO 81416-3465 · Phone (970) 874-8062
Location 3500 University Dr, MC H-088Hershey, PA 17033-2360 · Phone (717) 531-8952 · Fax (717) 531-4339

Other Identifiers 1

Medicaid9000222170CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., University of Utah Health Plans.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

Dr. Stacy Henderson 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.

PECOS PAC ID3476833096
PECOS Enrollment IDI20240219000495
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

3

Medicare enrollment records show Stacy Henderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Restorative Breast Surgery LLC
Same address
Plastic and Reconstructive Surgery
1717 ST CHARLES AVE
New Orleans, LA 70130
  • Reassigned Medicare billing, Louisiana enrollment
  • 11 clinicians in this Medicare group
NPI 1407043755 (504) 899-2800
Delta County Memorial Hospital
1,190 mi
Rural
1501 E 3RD ST
Delta, CO 81416
  • Reassigned Medicare billing, Colorado enrollment
  • 111 clinicians in this Medicare group
NPI 1114180817 (970) 874-7681
Community Medical Group, LLC
1,224 mi
Pediatrics
601 28 1/4 RD UNIT B
Grand Junction, CO 81506
  • Reassigned Medicare billing, Colorado enrollment
  • 100 clinicians in this Medicare group
NPI 1730505702 (970) 263-2604

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 20

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

DANIEL YOO MD
Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 899-2800
ST. CHARLES SURGICAL HOSPITAL, LLC
Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 899-2800
SCOTT KEITH SULLIVAN JR. MD
Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 899-2800
JULIA CATHERINE DAIGLE PA-C
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 899-2800
MADELYN REBSTOCK
Physician Assistant (Surgical)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 899-2800
MAKAYLA ELIZABETH BARBER PA-C
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 576-0966
JEANNE MARIE FLOTTE PA
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 899-2800
COASTAL ANESTHESIA, INC.
Anesthesiology
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Orleans Parish (504) 813-3101

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 Stacy Henderson's NPI number?

The NPI number for Stacy Henderson is 1457618316. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Where is Stacy Henderson located?

Stacy Henderson practices at 1717 Saint Charles Ave, New Orleans, LA 70130. The listed phone number is (504) 899-2800.

What is Stacy Henderson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Stacy Henderson enrolled in Medicare?

Yes. Stacy 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 Stacy Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Henderson reassigns Medicare benefits to 3 organizations: Center For Restorative Breast Surgery LLC (New Orleans, LA), Delta County Memorial Hospital (Delta, CO) and Community Medical Group, LLC (Grand Junction, CO). 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 Stacy Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Henderson accept?

Health plans from Oscar Health Plan, Inc. and University of Utah Health Plans list Stacy 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 Stacy Henderson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.