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DR. ALBERTA LEE HENDERSON M.D.
NPI 1477541654
Family Medicine in South Bend, IN

Active since October 11, 2005PECOS Enrolled
714 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 284-7477 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2023, Mar 30, 2021 (2 updates tracked since 2021).

About Dr. Alberta Lee Henderson M.d. NPPES

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

DR. ALBERTA LEE HENDERSON M.D. (NPI 1477541654) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01043140A) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477541654
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALBERTA LEE HENDERSONCredential: M.D.
Location Address714 N MICHIGAN STSouth Bend, IN 46601-1035
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1070
Phone(574) 284-7477
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1477541654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01043140A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
714 N MICHIGAN ST, South Bend, IN 46601
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Other Identifiers 1

Medicaid200109040IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alberta Lee Henderson M.d. 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 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

DR. DAVID HENRY TALARICO MD
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
ABIGAIL LEIGH REESE DO
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
DALE ALAN PATTERSON M.D.
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
MATTHEW T. DUPRE MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
RICHARD J. WARD MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
VICTORIA ANN BAWEL MD
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
ISAAC D HATTON MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7913
LAURA LAWRENCE DO
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477

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 Alberta Henderson's NPI number?

The NPI number for Alberta Henderson is 1477541654. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Alberta Henderson located?

Alberta Henderson practices at 714 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 284-7477.

What is Alberta Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alberta Henderson enrolled in Medicare?

Yes. Alberta Henderson is registered in the Medicare PECOS enrollment system.

What insurance does Alberta Henderson accept?

Health plans from CareSource list Alberta 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 Alberta Henderson was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.