AMY HENDERSON
NPI 1992253066
Nurse Practitioner - Acute Care in Addison, TX

Active since September 16, 2016PECOS EnrolledAccepts Medicare Assignment
14131 MIDWAY RD STE 260, ADDISON, TX 75001(662) 415-9042 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2019, Sep 16, 2016 (2 updates tracked since 2016).

About Amy Henderson NPPES

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

AMY HENDERSON (NPI 1992253066) is an individual acute care provider in Addison, Texas, licensed in Texas (AP132177) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992253066
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMY HENDERSON
Location Address14131 MIDWAY RD STE 260Addison, TX 75001-3623
Mailing Address14131 Midway Rd Ste 260Addison, TX 75001-3623 · (662) 415-9042
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 16, 2016
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
✔ NPI 1992253066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP132177
Also ListedRegistered NurseTaxonomy 163W00000X · License 799031 (TX)
14131 MIDWAY RD STE 260, Addison, TX 75001

Other Names 1

Former Name (1)Amy Fiala

Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3431

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Henderson 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 ID7012298037
PECOS Enrollment IDI20170106000845
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 Amy Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group

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 75001 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%319 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Amy Henderson's NPI number?

The NPI number for Amy Henderson is 1992253066. It was assigned to this individual provider in the NPPES registry on September 16, 2016. The provider is also known as Amy Fiala.

Where is Amy Henderson located?

Amy Henderson practices at 14131 Midway Rd Ste 260, Addison, TX 75001. The listed phone number is (662) 415-9042.

What is Amy Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amy Henderson enrolled in Medicare?

Yes. Amy 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.

Which organizations bill Medicare for Amy Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Henderson reassigns Medicare benefits to 2 organizations: Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and Acclaim Physician Group, Inc (Fort Worth, 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 Amy Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Henderson accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Henderson was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.