Kelly Diane Henry, RN, PMHNP - Medicare Nurse Practitioner in Eugene, OR

Kelly Diane Henry, RN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eugene, Oregon. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 331 Goodpasture Island Rd, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 636-9846.

Kelly Diane Henry is licensed to practice in Oregon (license number 201150087NP) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457657793.

Contact Information

Kelly Diane Henry, RN, PMHNP
331 Goodpasture Island Rd,
Eugene, OR 97401-2109
(541) 636-9846
(541) 636-9847

Map and Direction




Provider's Profile

Full NameKelly Diane Henry
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location331 Goodpasture Island Rd, Eugene, Oregon
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Diane Henry graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1457657793
  • Provider Enumeration Date: 02/03/2011
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7719148154
  • Enrollment ID: I20120412000211

Medical Identifiers

Medical identifiers for Kelly Diane Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457657793NPI-NPPES
500644984MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201150087NP (Oregon)Primary
163W00000XRegistered Nurse 200942615RN (Oregon)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Diane Henry allows following entities to bill medicare on her behalf.
Entity NameOasis Mental Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578000600
PECOS PAC ID: 4486072444
Enrollment ID: O20200908003324

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. Kelly Diane Henry 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
Kelly Diane Henry, RN, PMHNP
331 Goodpasture Island Rd,
Eugene, OR 97401-2109

Ph: (541) 636-9846
Kelly Diane Henry, RN, PMHNP
331 Goodpasture Island Rd,
Eugene, OR 97401-2109

Ph: (541) 636-9846

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.