CLAUDIUS LAURENTIUS HENRY II NP-C
NPI 1902221575
Nurse Practitioner - Adult Health in Mercerville, NJ

Active since February 19, 2014PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
2312 WHITEHORSE MERCERVILLE RD, SUITE 105, MERCERVILLE, NJ 08619(609) 656-1100 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claudius Laurentius Henry Ii Np-c NPPES

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

CLAUDIUS LAURENTIUS HENRY II NP-C (NPI 1902221575) is an individual adult health provider in Mercerville, New Jersey, licensed in New Jersey (26NJ00471000) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Hamilton, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902221575
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameCLAUDIUS LAURENTIUS HENRY IICredential: NP-C
Location Address2312 WHITEHORSE MERCERVILLE RD, SUITE 105Mercerville, NJ 08619-1953
Mailing AddressPo Box 6481Lawrenceville, NJ 08648-0481 · (609) 656-1100
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 19, 2014
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1902221575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00471000
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 26NJ00471000 (NJ)
2312 WHITEHORSE MERCERVILLE RD, Mercerville, NJ 08619

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Claudius Laurentius Henry Ii Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597088591
PECOS Enrollment IDI20141224000660
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
195 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers117 claims120 services$16.07 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier21 claims21 services$913.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers146 claims149 services$78.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
2312 WHITEHORSE MERCERVILLE RD, SUITE 105
MERCERVILLE, NJ 08619
Physical Therapist
2312 WHITEHORSE MERCERVILLE RD, SUITE 102
MERCERVILLE, NJ 08619
Chiropractor
2312 WHITEHORSE MERCERVILLE RD, SUITE 108
MERCERVILLE, NJ 08619
Internal Medicine
2312 WHITEHORSE MERCERVILLE RD, SUITE #201
TRENTON, NJ 08619
Dentist (General Practice)
2312 WHITEHORSE MERCERVILLE RD, SUITE 107
MERCERVILLE, NJ 08619
Internal Medicine
2312 WHITEHORSE MERCERVILLE RD, SUITE #201
MERCERVILLE, NJ 08619
Clinic/Center (Dental)
2312 WHITEHORSE MERCERVILLE RD
MERCERVILLE, NJ 08619
Psychologist (Clinical)
2312 WHITEHORSE MERCERVILLE RD, SUITE 101
TRENTON, NJ 08619

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 Claudius Henry's NPI number?

The NPI number for Claudius Henry is 1902221575. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Claudius Henry located?

Claudius Henry practices at 2312 Whitehorse Mercerville Rd Suite 105, Mercerville, NJ 08619. The listed phone number is (609) 656-1100.

What is Claudius Henry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Claudius Henry enrolled in Medicare?

Yes. Claudius Henry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Claudius Henry accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Claudius Henry 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.

Is Claudius Henry affiliated with any hospitals?

According to CMS data, Claudius Henry is affiliated with Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Claudius Henry was last updated on April 17, 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.