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TIMOTHY EDWARD HENLEY PA
NPI 1477289494
Physician Assistant in Sandia Park, NM

Active since August 01, 2022PECOS Enrolled
35 ROBERTS RD, SANDIA PARK, NM 87047(505) 977-0144 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Dec 11, 2023, Aug 1, 2022 (3 updates tracked since 2022).

About Timothy Edward Henley Pa NPPES

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

TIMOTHY EDWARD HENLEY PA (NPI 1477289494) is an individual physician assistant in Sandia Park, New Mexico, licensed in New Mexico (PA2023-0309) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477289494
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY EDWARD HENLEYCredential: PA
Location Address35 ROBERTS RDSandia Park, NM 87047-9352
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Phone(505) 977-0144
Sole ProprietorYes
Enumeration DateAugust 1, 2022
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1477289494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2023-0309
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
35 ROBERTS RD, Sandia Park, NM 87047
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Edward Henley Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87047 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Timothy Henley's NPI number?

The NPI number for Timothy Henley is 1477289494. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Timothy Henley located?

Timothy Henley practices at 35 Roberts Rd, Sandia Park, NM 87047. The listed phone number is (505) 977-0144.

What is Timothy Henley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Henley enrolled in Medicare?

Yes. Timothy Henley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Henley was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.