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JUSTIN HENDERSON NP
NPI 1770112138
Nurse Practitioner in Hayden, ID

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
151 W PRAIRIE AVE, HAYDEN, ID 83835(208) 719-4880 Get Directions Write a Review

NPPES record last updated: February 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2025, Apr 6, 2024, Nov 9, 2022 and 1 more (4 updates tracked since 2020).

About Justin Henderson Np NPPES

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

JUSTIN HENDERSON NP (NPI 1770112138) is an individual nurse practitioner in Hayden, Idaho, licensed in Idaho (68018) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770112138
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN HENDERSONCredential: NP
Location Address151 W PRAIRIE AVEHayden, ID 83835-8284
Mailing Address151 W Prairie AveHayden, ID 83835-8284 · (208) 719-4880
Phone(208) 719-4880
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2020
Last NPPES UpdateFebruary 22, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2026
✔ NPI 1770112138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 68018
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9132375-4405 (UT)
151 W PRAIRIE AVE, Hayden, ID 83835
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Justin 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.

PECOS PAC ID8820410673
PECOS Enrollment IDI20210722002308, I20250604001437
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Justin Henderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kootenai Urgent Care LLC
0.3 mi
Family Medicine
566 W PRAIRIE AVE
Coeur D Alene, ID 83815
  • Reassigned Medicare billing, Idaho enrollment
  • 23 clinicians in this Medicare group
NPI 1407172059 (208) 772-9110
Indigo Idaho Services, LLC
2.3 mi
Family Medicine
2836 N RAMSEY RD
Coeur D Alene, ID 83815
  • Reassigned Medicare billing, Idaho enrollment
  • 19 clinicians in this Medicare group
NPI 1821799263 (208) 482-3400
Multicare Health System
20 mi
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1336902345 (509) 530-4260
Michael R Dibenedetto MD PLLC
40 mi
Orthopaedic Surgery
30544 HWY 200, STE 102
Ponderay, ID 83852
  • Reassigned Medicare billing, Idaho enrollment
  • 14 clinicians in this Medicare group
NPI 1083809727 (208) 265-9836
Utah Regional Hospitalists LLC
545 mi
Hospitalist
5505 S 900 E STE 240
Murray, UT 84117
  • Reassigned Medicare billing, Utah enrollment
  • 271 clinicians in this Medicare group
NPI 1962821223 (844) 474-4019

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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services237 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services173 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
80 services77 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
71 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83835 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$104.54 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims2,237 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$179.58 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$26.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Justin Henderson's NPI number?

The NPI number for Justin Henderson is 1770112138. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Justin Henderson located?

Justin Henderson practices at 151 W Prairie Ave, Hayden, ID 83835. The listed phone number is (208) 719-4880.

What is Justin Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Henderson enrolled in Medicare?

Yes. Justin 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 Justin Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Henderson reassigns Medicare benefits to 5 organizations: Kootenai Urgent Care LLC (Coeur D Alene, ID), Indigo Idaho Services, LLC (Coeur D Alene, ID), Multicare Health System (Spokane Valley, WA), Michael R Dibenedetto MD PLLC (Ponderay, ID) and Utah Regional Hospitalists LLC (Murray, UT). 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 Justin Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Henderson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Justin 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 Justin Henderson affiliated with any hospitals?

According to CMS data, Justin Henderson is affiliated with Kootenai Health and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Justin Henderson was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.