SANDRA HENLINE PA-C
NPI 1992177984
Physician Assistant - Medical in Charleston, WV

Active since October 29, 2015PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3100 MACCORKLE AVE SE, SUITE 411, CHARLESTON, WV 25304(304) 345-5005 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra Henline Pa-c NPPES

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

SANDRA HENLINE PA-C (NPI 1992177984) is an individual medical provider in Charleston, West Virginia, licensed in West Virginia (1883) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1992177984
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSANDRA HENLINECredential: PA-C
Location Address3100 MACCORKLE AVE SE, SUITE 411Charleston, WV 25304-1223
Mailing Address3200 Maccorkle Ave Se, Ste B16Charleston, WV 25304-1227
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 29, 2015
Last NPPES UpdateMarch 30, 2017
NPI 1992177984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WV · 1883
3100 MACCORKLE AVE SE, Charleston, WV 25304

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

Sandra Henline Pa-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 ID9133423999
PECOS Enrollment IDI20160215002374
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 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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers13 claims13 services$13.04 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 20

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

Psychiatry & Neurology (Neurology)
3100 MACCORKLE AVE SE, SUITE 802
CHARLESTON, WV 25304
Internal Medicine (Cardiovascular Disease)
3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE, SUITE 806
CHARLESTON, WV 25304
Psychologist (Clinical)
3100 MACCORKLE AVE SE, SUITE 401
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE, SUITE 301
CHARLESTON, WV 25304
Physician Assistant
3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304
Psychologist (Clinical)
3100 MACCORKLE AVE SE, SUITE 101
CHARLESTON, WV 25304
Physician Assistant (Medical)
3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

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 Sandra Henline's NPI number?

The NPI number for Sandra Henline is 1992177984. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Sandra Henline located?

Sandra Henline practices at 3100 Maccorkle Ave SE Suite 411, Charleston, WV 25304. The listed phone number is (304) 345-5005.

What is Sandra Henline's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sandra Henline enrolled in Medicare?

Yes. Sandra Henline 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 Sandra Henline accept?

Health plans from CareSource list Sandra Henline 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.

When was this NPI record last updated?

The NPPES record for Sandra Henline was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.