MRS. SHANA MARIE HENDERSON NP
NPI 1669012571
Nurse Practitioner - Family in Temecula, CA

Active since January 08, 2020PECOS Enrolled
78.65/100
CMS Quality Rating
39301 SHREE RD, TEMECULA, CA 92591(858) 232-1222 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Nov 29, 2021, Jan 8, 2020 (3 updates tracked since 2020).

About Mrs. Shana Marie Henderson Np NPPES

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

MRS. SHANA MARIE HENDERSON NP (NPI 1669012571) is an individual family provider in Temecula, California, licensed in California (NP95013315) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669012571
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANA MARIE HENDERSONCredential: NP
Location Address39301 SHREE RDTemecula, CA 92591-7284
Mailing Address39301 Shree RdTemecula, CA 92591-7284 · (858) 232-1222
Sole ProprietorNo
Enumeration DateJanuary 8, 2020
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1669012571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95013315
39301 SHREE RD, Temecula, CA 92591

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Shana Marie Henderson 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 92591 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

78.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.95
Improvement Activities40
Cost89.44

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 Shana Henderson's NPI number?

The NPI number for Shana Henderson is 1669012571. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Shana Henderson located?

Shana Henderson practices at 39301 Shree Rd, Temecula, CA 92591. The listed phone number is (858) 232-1222.

What is Shana Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shana Henderson enrolled in Medicare?

Yes. Shana Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shana Henderson was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.