SHANNON HENDERSON NP
NPI 1740532480
Nurse Practitioner in Medford, OR
About Shannon Henderson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON HENDERSON NP (NPI 1740532480) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (202004735NP-PP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Shannon Henderson Np 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
3Medicare enrollment records show Shannon Henderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 267 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 353 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORAsante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
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 Shannon Henderson's NPI number?
The NPI number for Shannon Henderson is 1740532480. It was assigned to this individual provider in the NPPES registry on October 4, 2012.
Where is Shannon Henderson located?
Shannon Henderson practices at 520 Medical Center Dr Ste 201, Medford, OR 97504. The listed phone number is (541) 789-5711.
What is Shannon Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shannon Henderson enrolled in Medicare?
Yes. Shannon 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 Shannon Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Henderson reassigns Medicare benefits to 3 organizations: Asante (Medford, OR), Asante Physician Partners (Medford, OR) and Asante Three Rivers Medical Center, LLC (Grants Pass, OR). 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 Shannon Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Henderson accept?
Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Shannon 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 Shannon Henderson affiliated with any hospitals?
According to CMS data, Shannon Henderson is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Shannon Henderson was last updated on June 17, 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.
# Shannon Henderson, NP · NPI 1740532480
Nurse Practitioner physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since October 4, 2012.
## Identity
- **NPI:** 1740532480 (Entity type: Individual)
- **Enumerated:** October 4, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 202004735NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 MEDICAL CENTER DR STE 201, Medford, OR 97504-4334
- **Phone:** (541) 789-5711 · **Fax:** (541) 789-5710
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Asante (NPI 1770587107, Medford, OR); Asante Physician Partners (NPI 1922381326, Medford, OR); Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1740532480) · Data from the CMS NPPES public registry.