MICHELLE REINA BOSLEY HENDERSON M.D.
NPI 1841427978
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Q: What is Michelle Henderson's NPI number?

The NPI number for Michelle Henderson is 1841427978. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Q: What is Michelle Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since June 16, 2009PECOS Enrolled

2000 S 900 E, SALT LAKE CITY, UT 84105(801) 464-7800 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2021, Oct 1, 2018 (2 updates tracked since 2018).

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About Michelle Reina Bosley Henderson M.d. NPPES

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

MICHELLE REINA BOSLEY HENDERSON M.D. (NPI 1841427978) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (8303357-1205) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841427978

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameMICHELLE REINA BOSLEY HENDERSONCredential: M.D.

Location Address2000 S 900 ESalt Lake City, UT 84105-3208

Mailing Address1055 S 1200 ESalt Lake City, UT 84105-1524 · (512) 705-6161

Phone(801) 464-7800

Sole ProprietorNo

Enumeration DateJune 16, 2009

Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1841427978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in UT · 8303357-1205✔ Licensed in CO · DR.0056489

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 8303357-1205 (UT), BP10035444 (TX)

2000 S 900 E, Salt Lake City, UT 84105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Reina Bosley Henderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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