AUTUMN LYNN HENZE DNP, PMHNP-BC
NPI 1851982250
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since January 28, 2021PECOS Enrolled
4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2026, May 7, 2026, Apr 27, 2026 and 2 more (5 updates tracked since 2021).

About Autumn Lynn Henze Dnp, Pmhnp-bc NPPES

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

AUTUMN LYNN HENZE DNP, PMHNP-BC (NPI 1851982250) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (277.004953) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1851982250
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUTUMN LYNN HENZECredential: DNP, PMHNP-BC
Location Address4009 N BROADWAY STChicago, IL 60613-2110
Mailing Address4009 N Broadway StChicago, IL 60613-2110 · (920) 285-1746
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 28, 2021
Last NPPES UpdateJuly 10, 20265 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1851982250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IL · 277.004953✔ Licensed in IL · 377.004483
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.434400 (IL)
4009 N BROADWAY ST, Chicago, IL 60613

Secondary Practice Locations 2

Location 11005 W Leland AveChicago, IL 60640-7270 · Phone (920) 285-1746
Location 24730 N Winthrop AveChicago, IL 60640-5034 · Phone (920) 285-1746

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)

Autumn Lynn Henze Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991113748
PECOS Enrollment IDI20210416001187
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 Autumn Henze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3111 W ARMITAGE AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
Child & Adolescent Psychiatry
101 MADISON ST STE 200
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 55 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 60613 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Physician Assistant (Medical)
4009 N BROADWAY ST
CHICAGO, IL 60613
Internal Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Psychiatry & Neurology (Psychiatry)
4009 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
4009 N BROADWAY ST
CHICAGO, IL 60613
Dentist (General Practice)
4009 N BROADWAY ST
CHICAGO, IL 60613
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Nurse Practitioner (Psychiatric/Mental Health)
4009 N BROADWAY ST
CHICAGO, IL 60613

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 Autumn Henze's NPI number?

The NPI number for Autumn Henze is 1851982250. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Autumn Henze located?

Autumn Henze practices at 4009 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 275-2586.

What is Autumn Henze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Autumn Henze enrolled in Medicare?

Yes. Autumn Henze is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Autumn Henze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Henze reassigns Medicare benefits to 2 organizations: Mount Sinai Community Foundation (Chicago, IL) and Uhs Of Hartgrove, Inc (Oak Park, IL). 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 Autumn Henze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Henze accept?

Health plans from Oscar Health list Autumn Henze 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 Autumn Henze was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.