MRS. GWENDOLYN K. HERNDON C.R.N.P.
NPI 1891855623
Nurse Practitioner - Acute Care in Starkville, MS

Q: What is Gwendolyn Herndon's NPI number?

The NPI number for Gwendolyn Herndon is 1891855623. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Gwendolyn Herndon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Herndon was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 11, 2006PECOS Enrolled

400 HOSPITAL RD, STARKVILLE, MS 39759(662) 615-2503(662) 615-2554 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Gwendolyn K. Herndon C.r.n.p. NPPES

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

MRS. GWENDOLYN K. HERNDON C.R.N.P. (NPI 1891855623) is an individual acute care provider in Starkville, Mississippi, licensed in Mississippi (R643653) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891855623

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. GWENDOLYN K. HERNDONCredential: C.R.N.P.

Location Address400 HOSPITAL RDStarkville, MS 39759-2163

Mailing Address400 Hospital RdStarkville, MS 39759-2163 · (662) 615-2503 · Fax (662) 615-2554

Phone(662) 615-2503

Fax(662) 615-2554

Sole ProprietorYes

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 1, 2008

✔ NPI 1891855623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · R643653

400 HOSPITAL RD, Starkville, MS 39759

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Other Identifiers 3

Medicare PIN500002016MS

Medicaid00112980MS

Medicare UPINR94948MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gwendolyn K. Herndon C.r.n.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39759 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

DR. LANCE CHRISTOPHER ATCHLEY M.D.

Anesthesiology