CARLENY HENRIQUEZ
NPI 1518364579
Nurse Practitioner - Acute Care in Holyoke, MA

Active since November 19, 2014PECOS EnrolledAccepts Medicare Assignment
230 MAPLE ST, HOLYOKE, MA 01040(413) 420-2200 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2025, Oct 23, 2019 (2 updates tracked since 2019).

About Carleny Henriquez NPPES

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

CARLENY HENRIQUEZ (NPI 1518364579) is an individual acute care provider in Holyoke, Massachusetts, licensed in Massachusetts (RN2296631) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1518364579
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCARLENY HENRIQUEZ
Location Address230 MAPLE STHolyoke, MA 01040-5144
Mailing Address575 Beech StHolyoke, MA 01040-2223 · (413) 534-2500
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 19, 2014
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1518364579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in MA · RN2296631✔ Licensed in CT · 14497
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN2296631 (MA)
230 MAPLE ST, Holyoke, MA 01040

Secondary Practice Location 1

Location 180 Seymour St Bldg 502Hartford, CT 06102-8000 · Phone (860) 972-0549 · Fax (860) 545-5221

Other Identifiers 1

Medicaid1300237MA

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

Carleny Henriquez 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 ID5496188260
PECOS Enrollment IDI20191209002445, I20250424000659
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

5

Medicare enrollment records show Carleny Henriquez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
575 BEECH ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 241 clinicians in this Medicare group
Internal Medicine
1962 MEMORIAL DRIVE
Chicopee, MA 01020
  • Reassigned Medicare billing, Massachusetts enrollment
  • 242 clinicians in this Medicare group
Emergency Medical Services
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,537 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
General Acute Care Hospital
540 LITCHFIELD ST
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 374 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040
Registered Nurse (General Practice)
230 MAPLE ST
HOLYOKE, MA 01040
Counselor
230 MAPLE ST
HOLYOKE, MA 01040
Nurse Practitioner (Family)
230 MAPLE ST
HOLYOKE, MA 01040
Counselor (Mental Health)
230 MAPLE ST, SUITE B1
HOLYOKE, MA 01040
Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040
Counselor
230 MAPLE ST
HOLYOKE, MA 01040
Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040

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 Carleny Henriquez's NPI number?

The NPI number for Carleny Henriquez is 1518364579. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Carleny Henriquez located?

Carleny Henriquez practices at 230 Maple St, Holyoke, MA 01040. The listed phone number is (413) 420-2200.

What is Carleny Henriquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Carleny Henriquez enrolled in Medicare?

Yes. Carleny Henriquez 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 Carleny Henriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carleny Henriquez reassigns Medicare benefits to 5 organizations: Holyoke Medical Center, Inc. (Holyoke, MA), Western Mass Physician Associates Inc (Chicopee, MA), Baystate Medical Practices, Inc (Springfield, MA), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and The Charlotte Hungerford Hospital (Torrington, CT). 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 Carleny Henriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carleny Henriquez accept?

Health plans from Anthem Blue Cross and Blue Shield list Carleny Henriquez 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.

Is Carleny Henriquez affiliated with any hospitals?

According to CMS data, Carleny Henriquez is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Carleny Henriquez was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.