MS. KYWINA MARIE HENDERSON FNP, PMHNP-BC
NPI 1609079839
Nurse Practitioner - Psychiatric/Mental Health in Sherman Oaks, CA
About Ms. Kywina Marie Henderson Fnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KYWINA MARIE HENDERSON FNP, PMHNP-BC (NPI 1609079839) is an individual psychiatric/mental health provider in Sherman Oaks, California, licensed in California (17177) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Ms. Kywina Marie Henderson Fnp, Pmhnp-bc 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 Reassignments
4Medicare enrollment records show Kywina Henderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
Los Angeles, CA 90028
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Los Angeles, CA 90017
- Reassigned Medicare billing, California enrollment
- 247 clinicians in this Medicare group
Vancouver, WA 98660
- Reassigned Medicare billing, Washington enrollment
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHERMAN OAKS, CA 91423
SHERMAN OAKS, CA 91423
SHERMAN OAKS, CA 91423
SHERMAN OAKS, CA 91423
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 Kywina Henderson's NPI number?
The NPI number for Kywina Henderson is 1609079839. It was assigned to this individual provider in the NPPES registry on June 6, 2007. The provider is also known as Mrs. Kywina Marie Cannon Fnp, Pmhnp.
Where is Kywina Henderson located?
Kywina Henderson practices at 13425 Ventura Blvd Ste 201, Sherman Oaks, CA 91423. The listed phone number is (818) 305-6061.
What is Kywina Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kywina Henderson enrolled in Medicare?
Yes. Kywina 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 organizations bill Medicare for Kywina Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kywina Henderson reassigns Medicare benefits to 4 organizations: Mellow Medical Inc A Professional Corporation (West Hollywood, CA), K Somanath MD Inc (Los Angeles, CA), Telecare Corporation (Los Angeles, CA) and Kywina M Henderson Professional Advanced Practice Nursing Corporat (Vancouver, WA). 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 Kywina Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kywina Henderson accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kywina 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 Kywina Henderson was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Kywina Marie Henderson, FNP, PMHNP-BC · NPI 1609079839
Psychiatric/Mental Health physician in Sherman Oaks, California. Individual provider, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1609079839 (Entity type: Individual)
- **Enumerated:** June 6, 2007
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 17177 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13425 VENTURA BLVD STE 201, Sherman Oaks, CA 91423-3974
- **Phone:** (818) 305-6061
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Mellow Medical Inc A Professional Corporation (NPI 1407275886, West Hollywood, CA); K Somanath MD Inc (NPI 1649998022, Los Angeles, CA); Telecare Corporation (NPI 1194052647, Los Angeles, CA); Kywina M Henderson Professional Advanced Practice Nursing Corporat (NPI 1548049265, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609079839) · Data from the CMS NPPES public registry.