KENNETH HENDERSON MSN, APRN, NNP-BC
NPI 1770136988
Nurse Practitioner - Neonatal, Critical Care in Grand Junction, CO
About Kenneth Henderson Msn, Aprn, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH HENDERSON MSN, APRN, NNP-BC (NPI 1770136988) is an individual neonatal, critical care provider in Grand Junction, Colorado, licensed in Colorado (APN.0994788-NP) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Junction.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Henderson Msn, Aprn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Junction, CO 81501
- Reassigned Medicare billing, Colorado enrollment
- 438 clinicians in this Medicare group
Grand Junction, CO 81501
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: St Marys Hospital And Medical Center Inc
- 117 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81501 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
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 Kenneth Henderson's NPI number?
The NPI number for Kenneth Henderson is 1770136988. It was assigned to this individual provider in the NPPES registry on July 17, 2019.
Where is Kenneth Henderson located?
Kenneth Henderson practices at 2635 N 7th St, Grand Junction, CO 81501. The listed phone number is (970) 298-2279.
What is Kenneth Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Kenneth Henderson enrolled in Medicare?
Yes. Kenneth Henderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Henderson reassigns Medicare benefits to 2 organizations: Intermountain Medical Group Grand Junction, LLC (Grand Junction, CO) and St Mary's Hospital And Medical Center, Inc (Grand Junction, CO). 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 Kenneth Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Henderson was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kenneth Henderson, MSN, APRN, NNP-BC · NPI 1770136988
Neonatal, Critical Care physician in Grand Junction, Colorado. Individual provider, active in the CMS NPPES registry since July 17, 2019.
## Identity
- **NPI:** 1770136988 (Entity type: Individual)
- **Enumerated:** July 17, 2019
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** APN.0994788-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2635 N 7TH ST, Grand Junction, CO 81501-8209
- **Phone:** (970) 298-2279
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Intermountain Medical Group Grand Junction, LLC (NPI 1285248054, Grand Junction, CO); St Mary's Hospital And Medical Center, Inc (NPI 1275714081, Grand Junction, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2019
- **Other identifiers:** Medicaid 14476351 (CO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1770136988) · Data from the CMS NPPES public registry.