HOLLY JO HENDERSON MPT
NPI 1710034954
Nurse Practitioner - Family in Golden, IL

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
102 PRAIRIE MILLS RD, GOLDEN, IL 62339(217) 696-4446 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Golden, Illinois, licensed in Illinois (209020158) 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

NPI1710034954
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY JO HENDERSONCredential: MPT
Location Address102 PRAIRIE MILLS RDGolden, IL 62339-1055
Mailing Address183 Saturn DrHannibal, MO 63401-2398 · (573) 795-0849
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2019
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 31, 2020
NPI 1710034954 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 IL · 209020158
102 PRAIRIE MILLS RD, Golden, IL 62339

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5496991457
PECOS Enrollment IDI20201030000880
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.

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, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62339 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Physical Therapy Assistant
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
Nurse Practitioner (Family)
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
Nurse Practitioner (Family)
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
Pharmacist
102 PRAIRIE MILLS RD
GOLDEN, IL 62339

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 102 Prairie Mills Rd, Golden, IL 62339. The listed phone number is (217) 696-4446.

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.

What insurance does Holly Henderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan 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 January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.