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MRS. TARI RENEE HENDERSON AGNP-C
NPI 1912442179
Nurse Practitioner - Gerontology in Cleveland, OH

Active since December 27, 2016PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2026, Dec 21, 2020, Feb 23, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Tari Renee Henderson Agnp-c NPPES

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

MRS. TARI RENEE HENDERSON AGNP-C (NPI 1912442179) is an individual gerontology provider in Cleveland, Ohio, licensed in Ohio (CNP-020426) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912442179
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. TARI RENEE HENDERSONCredential: AGNP-C
Location Address9500 EUCLID AVECleveland, OH 44195-0001
Mailing Address9500 Euclid AveCleveland, OH 44195-0001
Phone(216) 444-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 27, 2016
Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1912442179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in OH · CNP-020426✔ Licensed in OH · AG1116006
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AG1116006 (OH)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AG1116006 (OH)
9500 EUCLID AVE, Cleveland, OH 44195
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Mrs. Tari Renee Henderson Agnp-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 ID2769767342
PECOS Enrollment IDI20170322000867
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 3

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.
37 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services28 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

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 Tari Henderson's NPI number?

The NPI number for Tari Henderson is 1912442179. It was assigned to this individual provider in the NPPES registry on December 27, 2016.

Where is Tari Henderson located?

Tari Henderson practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Tari Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tari Henderson enrolled in Medicare?

Yes. Tari Henderson 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 Tari Henderson accept?

Health plans from CareSource and MedMutual list Tari 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.

Is Tari Henderson affiliated with any hospitals?

According to CMS data, Tari Henderson is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Tari Henderson was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.