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JACOB PATRICK HENDERSON MD
NPI 1992440895
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Active since May 04, 2022PECOS Enrolled
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308(850) 325-7111 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Patrick Henderson Md NPPES

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

JACOB PATRICK HENDERSON MD (NPI 1992440895) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Univ Of Central Florida, College Of Medicine (2022).

NPPES Registry Identity

NPI1992440895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PATRICK HENDERSONCredential: MD
Location Address2626 CAPITAL MEDICAL BLVDTallahassee, FL 32308-4402
Mailing Address2626 Capital Medical BlvdTallahassee, FL 32308-4402 · (850) 325-7111
Phone(850) 325-7111
Sole ProprietorNo
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2022
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1992440895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2626 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Patrick Henderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163987991
PECOS Enrollment IDI20260722000509
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 Reassignment

Medicare enrollment records show Jacob Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geode Health Of North Carolina, PLLC
484 mi
Psychiatry
6015 FAYETTEVILLE RD STE 113
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1588433502 (919) 794-4487

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NANTARA DURRANI MBBS
Hospitalist
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5885
TOMAS FLORES III M.D.
Hospitalist
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5000
AQSA MUMTAZ M.D.
Internal Medicine
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5000
JEFFERY OSEI MD
Student in an Organized Health Care Education/Training Program
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5932
TITAN HOSPITALIST GROUP LLC
Hospitalist
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (904) 332-4316
LAKE OLIVER EMERGENCY GROUP, LLC
Emergency Medicine
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5000
JACOB PARK MD
Student in an Organized Health Care Education/Training Program
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5931
DR. VERNON THOMAS TRAEDER SHARP DO
Student in an Organized Health Care Education/Training Program
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-5930

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 Jacob Henderson's NPI number?

The NPI number for Jacob Henderson is 1992440895. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Jacob Henderson located?

Jacob Henderson practices at 2626 Capital Medical Blvd, Tallahassee, FL 32308. The listed phone number is (850) 325-7111.

What is Jacob Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Henderson enrolled in Medicare?

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

Which organization bills Medicare for Jacob Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Henderson reassigns Medicare benefits to Geode Health Of North Carolina, PLLC (Durham, NC). The 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 Jacob Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Henderson accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jacob 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 Jacob Henderson was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.