MICHAEL H HENDERSON
NPI 1730907163
Nurse Practitioner - Psychiatric/Mental Health in West Allis, WI

Active since October 03, 2024PECOS EnrolledAccepts Medicare Assignment
2448 S 102ND ST STE 180, WEST ALLIS, WI 53227(630) 974-6602(630) 487-2411 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Oct 3, 2024 (2 updates tracked since 2024).

About Michael H Henderson NPPES

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

MICHAEL H HENDERSON (NPI 1730907163) is an individual psychiatric/mental health provider in West Allis, Wisconsin, licensed in Wisconsin (15997-33) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730907163
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL H HENDERSON
Location Address2448 S 102ND ST STE 180West Allis, WI 53227-2150
Mailing Address1100 Jorie Blvd Ste 300Oak Brook, IL 60523-2219 · (630) 974-6602 · Fax (630) 487-2411
Fax(630) 487-2411
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 3, 2024
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1730907163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 15997-33
2448 S 102ND ST STE 180, West Allis, WI 53227

Secondary Practice Location 1

Location 15000 W National AveMilwaukee, WI 53295-0001 · Phone (414) 384-2000

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

Michael H Henderson 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 ID4284147257
PECOS Enrollment IDI20250702000971
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 53227 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2448 S 102ND ST STE 180
WEST ALLIS, WI 53227
Physician Assistant
2448 S 102ND ST STE 180
WEST ALLIS, WI 53227
Psychiatry & Neurology (Psychiatry)
2448 S 102ND ST STE 180
WEST ALLIS, WI 53227

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 Michael Henderson's NPI number?

The NPI number for Michael Henderson is 1730907163. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Michael Henderson located?

Michael Henderson practices at 2448 S 102nd St Ste 180, West Allis, WI 53227. The listed phone number is (630) 974-6602.

What is Michael Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Henderson enrolled in Medicare?

Yes. Michael 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 Michael Henderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and UnitedHealthcare list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Henderson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.