Kristine Mary Henry, NP - Medicare Nurse Practitioner in Santa Rosa, CA

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Kristine Mary Henry, NP is a medicare enrolled "Nurse Practitioner" in Santa Rosa, California. Her current practice location is 131 Stony Cir Ste 1600, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 541-7700.

Kristine Mary Henry is licensed to practice in California (license number NP5225) 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 1629243993.

Contact Information

Kristine Mary Henry, NP
131 Stony Cir Ste 1600,
Santa Rosa, CA 95401-9520
(707) 541-7700
(707) 573-5415

Map and Direction




Provider's Profile

Full NameKristine Mary Henry
GenderFemale
SpecialityNurse Practitioner
Location131 Stony Cir Ste 1600, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629243993
  • Provider Enumeration Date: 04/28/2008
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375446099
  • Enrollment ID: I20040129001242

Medical Identifiers

Medical identifiers for Kristine Mary Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629243993NPI-NPPES
NP5225OtherCASTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP5225 (California)Primary

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. Kristine Mary Henry allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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. Kristine Mary 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
Kristine Mary Henry, NP
2350 W El Camino Real Fl 2,
Mountain View, CA 94040-6203

Ph: (707) 541-7700		Kristine Mary Henry, NP
131 Stony Cir Ste 1600,
Santa Rosa, CA 95401-9520

Ph: (707) 541-7700

Reviews and Comments


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Phone: 707-579-1102    

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.