Dr Kelley Marie Henson, NP - Medicare Nurse Practitioner in Cannon Afb, NM

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Dr Kelley Marie Henson, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Cannon Afb, New Mexico. Her current practice location is 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, New Mexico. You can reach out to her office (for appointments etc.) via phone at (757) 225-6611.

Dr Kelley Marie Henson is licensed to practice in Virginia (license number 0024169514) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205060415.

Contact Information

Dr Kelley Marie Henson, NP
224 W D. L. Ingram Avenue, Bldg. 1408,
Cannon Afb, NM 88103
(757) 225-6611
Not Available

Map and Direction




Provider's Profile

Full NameDr Kelley Marie Henson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location224 W D. L. Ingram Avenue, Cannon Afb, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205060415
  • Provider Enumeration Date: 05/04/2009
  • Last Update Date: 05/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628226008
  • Enrollment ID: I20140618002270

Medical Identifiers

Medical identifiers for Dr Kelley Marie Henson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205060415NPI-NPPES
1508825902OtherTNJAMES BATSON NPI
1512646MedicaidTN
1538173471OtherTNCOOKEVILLE PEDIATRIC ASSOCIATES
1517710MedicaidTN
3897667MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics APN13239 (Tennessee)Secondary
363LP0200XNurse Practitioner - Pediatrics 0024169514 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelley Marie Henson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelley Marie Henson, NP
224 W D. L. Ingram Avenue, Bldg. 1408,
Cannon Afb, NM 88103

Ph: (757) 902-7154		Dr Kelley Marie Henson, NP
224 W D. L. Ingram Avenue, Bldg. 1408,
Cannon Afb, NM 88103

Ph: (757) 225-6611

Reviews and Comments


Nurse Practitioner Nurses in Cannon Afb, NM

Dr. Mavis Gee, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 W D.l. Ingram Ave, Cannon Afb, NM 88101
Phone: 575-784-1103    
Dr. Kenneth Smith Ii, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 224 W D. L. Ingram Ave, Cannon Afb, NM 88103
Phone: 575-784-1104    
Donna Ong Calla, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 224 W D.l. Ingram Avenue, Bldg 1408, Cannon Afb, NM 88103
Phone: 575-784-2778    
Mrs. Gretchen Evelynn Szymanski, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103
Phone: 575-904-4073    
Dr. John Dominick Rossi, DNP, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103
Phone: 575-784-1108    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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