CARMEN HENDERSON
NPI 1568871598
Nurse Practitioner - Acute Care in Erie, PA

Active since August 04, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carmen Henderson NPPES

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

CARMEN HENDERSON (NPI 1568871598) is an individual acute care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP013980) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1568871598
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCARMEN HENDERSON
Location Address118 E 2ND STErie, PA 16507-1502
Mailing Address1205 Chelsea AveErie, PA 16505-3311 · (808) 392-8914
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 4, 2014
Last NPPES UpdateNovember 4, 2019
NPI 1568871598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP013980
118 E 2ND ST, Erie, PA 16507

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

Carmen 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.

PECOS PAC ID8527287051
PECOS Enrollment IDI20140916001986
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services130 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
116 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services40 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 11

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

Physician Assistant (Medical)
118 E 2ND ST
ERIE, PA 16507
Physician Assistant
118 E 2ND ST
ERIE, PA 16507
Nurse Practitioner (Neonatal)
118 E 2ND ST
ERIE, PA 16507
Nurse Practitioner
118 E 2ND ST
ERIE, PA 16507
Pediatrics (Neonatal-Perinatal Medicine)
118 E 2ND ST
ERIE, PA 16507
Nurse Practitioner (Neonatal)
118 E 2ND ST
ERIE, PA 16507
Nurse Practitioner (Women's Health)
118 E 2ND ST
ERIE, PA 16507
Nurse Practitioner (Neonatal)
118 E 2ND ST
ERIE, PA 16507

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 Carmen Henderson's NPI number?

The NPI number for Carmen Henderson is 1568871598. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Carmen Henderson located?

Carmen Henderson practices at 118 E 2nd St, Erie, PA 16507. The listed phone number is (814) 877-6000.

What is Carmen Henderson's specialty?

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

Is Carmen Henderson enrolled in Medicare?

Yes. Carmen 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.

Is Carmen Henderson affiliated with any hospitals?

According to CMS data, Carmen Henderson is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Carmen Henderson was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.