DR. SHELLEY JOYCEANNE THOMAS HENDERSON MD
NPI 1962963736
Family Medicine in Philadelphia, PA
About Dr. Shelley Joyceanne Thomas Henderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLEY JOYCEANNE THOMAS HENDERSON MD (NPI 1962963736) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD478911) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shelley Joyceanne Thomas Henderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19143
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 Shelley Henderson's NPI number?
The NPI number for Shelley Henderson is 1962963736. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Shelley Joyceanne Thomas.
Where is Shelley Henderson located?
Shelley Henderson practices at 501 S 54th St, Philadelphia, PA 19143. The listed phone number is (215) 240-4820.
What is Shelley Henderson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shelley Henderson enrolled in Medicare?
Yes. Shelley Henderson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shelley Henderson was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Shelley Joyceanne Thomas Henderson, MD · NPI 1962963736
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1962963736 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD478911 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 S 54TH ST, Philadelphia, PA 19143-1900
- **Phone:** (215) 240-4820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 30, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1962963736) · Data from the CMS NPPES public registry.