KRISTINE MARY HENRY NP
NPI 1629243993
Nurse Practitioner in Santa Rosa, CA

Q: What is Kristine Henry's NPI number?

The NPI number for Kristine Henry is 1629243993. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Q: What is Kristine Henry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Henry was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2008PECOS Enrolled

131 STONY CIR STE 1600, SANTA ROSA, CA 95401(707) 541-7700(707) 573-5415 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 12, 2018 (2 updates tracked since 2018).

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About Kristine Mary Henry Np NPPES

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

KRISTINE MARY HENRY NP (NPI 1629243993) is an individual nurse practitioner in Santa Rosa, California, licensed in California (NP5225) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629243993

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRISTINE MARY HENRYCredential: NP

Location Address131 STONY CIR STE 1600Santa Rosa, CA 95401-9520

Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (707) 541-7700 · Fax (707) 573-5415

Phone(707) 541-7700

Fax(707) 573-5415

Sole ProprietorNo

Enumeration DateApril 28, 2008

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1629243993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP5225

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

131 STONY CIR STE 1600, Santa Rosa, CA 95401

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Other Identifiers 1

OtherNP5225CA · State Medical 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)

Kristine Mary Henry Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.