HOLLY JO HENDERSON MPT
NPI 1710034954
Nurse Practitioner - Family in Palmyra, MO
About Holly Jo Henderson Mpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY JO HENDERSON MPT (NPI 1710034954) is an individual family provider in Palmyra, Missouri, licensed in Missouri (2019032288) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Southern Illinois University School Of Medicine (2019).
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
Holly Jo Henderson Mpt 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
2Medicare enrollment records show Holly Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palmyra, MO 63461
- Reassigned Medicare billing, Missouri enrollment
- 24 clinicians in this Medicare group
Hannibal, MO 63401
- Reassigned Medicare billing, Missouri enrollment
- 192 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILHannibal Regional Hospital
Acute Care Hospitals · Hannibal, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63461 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Holly Henderson's NPI number?
The NPI number for Holly Henderson is 1710034954. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Holly Henderson located?
Holly Henderson practices at 6996 County Road 326, Palmyra, MO 63461. The listed phone number is (573) 769-3710.
What is Holly Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Henderson enrolled in Medicare?
Yes. Holly 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 Holly Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Henderson reassigns Medicare benefits to 2 organizations: Blessing Corporate Services Inc (Palmyra, MO) and Blessing Hospital (Hannibal, MO). 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 Holly Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Henderson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Holly 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 Holly Henderson affiliated with any hospitals?
According to CMS data, Holly Henderson is affiliated with Blessing Hospital and Hannibal Regional Hospital.
When was this NPI record last updated?
The NPPES record for Holly Henderson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.
# Holly Jo Henderson, MPT · NPI 1710034954
Family physician in Palmyra, Missouri. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1710034954 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2019032288 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6996 COUNTY ROAD 326, Palmyra, MO 63461-3119
- **Phone:** (573) 769-3710 · **Fax:** (573) 769-3753
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Blessing Corporate Services Inc (NPI 1548368004, Palmyra, MO); Blessing Hospital (NPI 1043724875, Hannibal, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 14, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1710034954) · Data from the CMS NPPES public registry.