1. Home
  2. Directory
  3. California
  4. Stockton
  5. Licensed Practical Nurse
  6. NPI Profile

CHRISTY M. HENDERSON-PETERSON N.P.
NPI 1609957190
Licensed Practical Nurse in Stockton, CA

Active since October 18, 2006PECOS Enrolled
1721 HAMMER LANE SUITE A, STOCKTON, CA 95210(209) 751-5200 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christy M. Henderson-peterson N.p. NPPES

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

CHRISTY M. HENDERSON-PETERSON N.P. (NPI 1609957190) is an individual licensed practical nurse in Stockton, California, licensed in California (NP11839) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609957190
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHRISTY M. HENDERSON-PETERSONCredential: N.P.
Location Address1721 HAMMER LANE SUITE AStockton, CA 95210-4116
Mailing AddressPo Box 779Stockton, CA 95201 · (209) 373-2829 · Fax (209) 373-2873
Phone(209) 751-5200
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1609957190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CA · NP11839
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1721 HAMMER LANE SUITE A, Stockton, CA 95210
Open in Google Maps ↗

Other Identifiers 1

OtherNP11839CA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christy M. Henderson-peterson N.p. 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
91%194 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%2,105 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,335 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
78%99 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%1,890 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%1,349 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%627 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 1,288 patients
Patients tobacco: 13% · 32 patients
89%1,288 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%1,890 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%1,890 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Christy Henderson-peterson's NPI number?

The NPI number for Christy Henderson-peterson is 1609957190. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Christy Henderson-peterson located?

Christy Henderson-peterson practices at 1721 Hammer Lane Suite A, Stockton, CA 95210. The listed phone number is (209) 751-5200.

What is Christy Henderson-peterson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Christy Henderson-peterson enrolled in Medicare?

Yes. Christy Henderson-peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christy Henderson-peterson was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.