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CHAQUITA HENDERSON AGPCNP
NPI 1942651005
Nurse Practitioner - Psychiatric/Mental Health in Hattiesburg, MS

Active since June 29, 2016PECOS Enrolled
107 PINE DR, HATTIESBURG, MS 39401(601) 434-0960 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2025, Aug 12, 2016, Jun 29, 2016 (3 updates tracked since 2016).

About Chaquita Henderson Agpcnp NPPES

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

CHAQUITA HENDERSON AGPCNP (NPI 1942651005) is an individual psychiatric/mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (901493) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942651005
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHAQUITA HENDERSONCredential: AGPCNP
Location Address107 PINE DRHattiesburg, MS 39401-8409
Mailing Address107 Pine DrHattiesburg, MS 39401-8409 · (601) 434-0960
Phone(601) 434-0960
Sole ProprietorYes
Enumeration DateJune 29, 2016
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1942651005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 901493
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 901493 (MS)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 901493 (MS), AP08972 (LA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 901493 (MS), AP08972 (LA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 901493 (MS)
107 PINE DR, Hattiesburg, MS 39401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaquita Henderson Agpcnp 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 Chaquita Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Complete Healthcare Solutions, LLC
5.7 mi
Primary Care
7 PROFESSIONAL PKWY STE 101
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1598560906 (601) 706-5336
Signify Health, LLC
454 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 39401 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.

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 Chaquita Henderson's NPI number?

The NPI number for Chaquita Henderson is 1942651005. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Chaquita Henderson located?

Chaquita Henderson practices at 107 Pine Dr, Hattiesburg, MS 39401. The listed phone number is (601) 434-0960.

What is Chaquita Henderson's specialty?

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

Is Chaquita Henderson enrolled in Medicare?

Yes. Chaquita Henderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chaquita Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chaquita Henderson reassigns Medicare benefits to 2 organizations: Complete Healthcare Solutions, LLC (Hattiesburg, MS) and Signify Health, LLC (Dallas, TX). 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 Chaquita Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chaquita Henderson was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.