COLE WILLIAM HENSLEY MD
NPI 1851973820
Emergency Medicine in Mount Clemens, MI

Active since April 28, 2021PECOS Enrolled
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 790-9003 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, Jul 1, 2024, Apr 28, 2021 (3 updates tracked since 2021).

About Cole William Hensley Md NPPES

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

COLE WILLIAM HENSLEY MD (NPI 1851973820) is an individual emergency medicine provider in Mount Clemens, Michigan, licensed in New York (330640) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851973820
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCOLE WILLIAM HENSLEYCredential: MD
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 790-9003
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1851973820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 330640✔ Licensed in IN · 01093770A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 HARRINGTON ST, Mount Clemens, MI 48043

Other Identifiers 1

Medicaid0060457OH

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)

Cole William Hensley Md 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 Cole Hensley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6653 MAIN ST
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 195 clinicians in this Medicare group
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043

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 Cole Hensley's NPI number?

The NPI number for Cole Hensley is 1851973820. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Cole Hensley located?

Cole Hensley practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 790-9003.

What is Cole Hensley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Cole Hensley enrolled in Medicare?

Yes. Cole Hensley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cole Hensley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cole Hensley reassigns Medicare benefits to 2 organizations: Buffalo Emergency Associates LLP (Williamsville, NY) and Avera Mckennan (Rock Rapids, IA). 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 Cole Hensley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cole Hensley accept?

Health plans from Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Cole Hensley 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 Cole Hensley was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.