MRS. TAMMIE HENDERSON N.P.
NPI 1598164303
Nurse Practitioner - Pediatrics in Bradley, IL
About Mrs. Tammie Henderson N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TAMMIE HENDERSON N.P. (NPI 1598164303) is an individual pediatrics provider in Bradley, Illinois, licensed in Illinois (209011570) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Tammie Henderson N.p. 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.
Medicare Billing Reassignment
Medicare enrollment records show Tammie Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kankakee, IL 60901
- Reassigned Medicare billing, Illinois enrollment
- 381 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 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence St Marys Hospital
Acute Care Hospitals · Kankakee, ILRiverside Medical Center
Acute Care Hospitals · Kankakee, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BRADLEY, IL 60915
BRADLEY, IL 60915
BRADLEY, IL 60915
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 Tammie Henderson's NPI number?
The NPI number for Tammie Henderson is 1598164303. It was assigned to this individual provider in the NPPES registry on August 18, 2014.
Where is Tammie Henderson located?
Tammie Henderson practices at 400 S Kennedy Dr Suite 900, Bradley, IL 60915. The listed phone number is (815) 932-3132.
What is Tammie Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Tammie Henderson enrolled in Medicare?
Yes. Tammie 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 organization bills Medicare for Tammie Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammie Henderson reassigns Medicare benefits to Riverside Health System (Kankakee, IL). The 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 Tammie Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tammie Henderson accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Tammie 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.
Is Tammie Henderson affiliated with any hospitals?
According to CMS data, Tammie Henderson is affiliated with Presence St Marys Hospital and Riverside Medical Center.
When was this NPI record last updated?
The NPPES record for Tammie Henderson was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Tammie Henderson, N.P. · NPI 1598164303
Pediatrics physician in Bradley, Illinois. Individual provider, active in the CMS NPPES registry since August 18, 2014.
## Identity
- **NPI:** 1598164303 (Entity type: Individual)
- **Enumerated:** August 18, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 209011570 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 S KENNEDY DR, SUITE 900, Bradley, IL 60915-2682
- **Phone:** (815) 932-3132 · **Fax:** (815) 932-2397
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Riverside Health System (NPI 1336354430, Kankakee, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 18, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1598164303) · Data from the CMS NPPES public registry.