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

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: October 18, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
3215 VALLEY ST
Salt Lake City, UT 84109
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
Pediatric Allergy/Immunology
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 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.

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.

Internal Medicine
2000 S 900 E
SALT LAKE CITY, UT 84105
Otolaryngology
2000 S 900 E
SALT LAKE CITY, UT 84105
Pediatrics
2000 S 900 E
SALT LAKE CITY, UT 84105
Student in an Organized Health Care Education/Training Program
2000 S 900 E
SALT LAKE CITY, UT 84105
Pharmacy (Community/Retail Pharmacy)
2000 S 900 E
SALT LAKE CITY, UT 84105
Physical Therapist
2000 S 900 E
SALT LAKE CITY, UT 84105
Internal Medicine
2000 S 900 E
SALT LAKE CITY, UT 84105
Internal Medicine
2000 S 900 E
SALT LAKE CITY, UT 84105

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 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.

Where is Michelle Henderson located?

Michelle Henderson practices at 2000 S 900 E, Salt Lake City, UT 84105. The listed phone number is (801) 464-7800.

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.

Is Michelle Henderson enrolled in Medicare?

Yes. Michelle Henderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Henderson reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, 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 Michelle Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Henderson accept?

Health plans from Select Health list Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Henderson was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.