1. Home
  2. Directory
  3. Massachusetts
  4. Southbridge
  5. Nurse Practitioner
  6. NPI Profile

DARLENY HENRIQUEZ NP
NPI 1801132295
Nurse Practitioner in Southbridge, MA

Active since December 12, 2012PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
100 SOUTH ST, SOUTHBRIDGE, MA 01550(508) 765-9771(508) 909-7735 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darleny Henriquez Np NPPES

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

DARLENY HENRIQUEZ NP (NPI 1801132295) is an individual nurse practitioner in Southbridge, Massachusetts, licensed in Massachusetts (RN270423) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801132295
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDARLENY HENRIQUEZCredential: NP
Location Address100 SOUTH STSouthbridge, MA 01550-4051
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799 · Fax (508) 764-2432
Phone(508) 765-9771
Fax(508) 909-7735
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 12, 2012
Last NPPES UpdateDecember 23, 2016
✔ NPI 1801132295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN270423
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.
100 SOUTH ST, Southbridge, MA 01550
Open in Google Maps ↗

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

Darleny Henriquez 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 ID1658507397
PECOS Enrollment IDI20131202000613
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
185 services119 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
81 services41 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
42 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services23 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

EDWARD YE PA-C
Physician Assistant (Medical)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. KRISHNAVENI SIRIGADDI MD
Internal Medicine
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. CARL JOHN VANDERPUTTEN DO
Emergency Medicine
100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. MARSHA KAY FEARING MD, MPH, MMSC.
Pediatrics
100 SOUTH ST, STE 102
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-7860
MR. DOMINIC IDOKO MA
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
STEPHANIE RUIZ-GONZALEZ CRNA
Nurse Anesthetist, Certified Registered
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 909-7799
MARY E FRISELLA MD
Internal Medicine (Cardiovascular Disease)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6041
TAMMY JOHNSON
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771

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 Darleny Henriquez's NPI number?

The NPI number for Darleny Henriquez is 1801132295. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Where is Darleny Henriquez located?

Darleny Henriquez practices at 100 South St, Southbridge, MA 01550. The listed phone number is (508) 765-9771.

What is Darleny Henriquez's specialty?

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

Is Darleny Henriquez enrolled in Medicare?

Yes. Darleny Henriquez 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.

Is Darleny Henriquez affiliated with any hospitals?

According to CMS data, Darleny Henriquez is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Darleny Henriquez was last updated on December 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.