Lisa Yvette Henderson, APRN in Fort Meade, SD

Lisa Yvette Henderson, APRN is a medicare enrolled "Nurse Practitioner" in Fort Meade, South Dakota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairfax Medical Facilities Inc and her current practice location is Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 745-2000.

Lisa Yvette Henderson is licensed to practice in Oklahoma (license number 118316) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912424243.

Contact Information

	Lisa Yvette Henderson, APRN
	Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741
	(605) 745-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Yvette Henderson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	Va Black Hills Health Care System, Fort Meade, South Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Yvette Henderson graduated from nursing school in 2016

NPI Data:

NPI Number: 1912424243
Provider Enumeration Date: 08/28/2017
Last Update Date: 05/08/2020

Medicare PECOS Information:

PECOS PAC ID: 2163755927
Enrollment ID: I20190610002285

Medical Identifiers

Medical identifiers for Lisa Yvette Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912424243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	118316 (Oklahoma)	Primary
363LA2200X	Nurse Practitioner - Adult Health	53-77543-021 (Kansas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	118316 (Oklahoma)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	53-77543-021 (Kansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ponca City Medical Center	Ponca city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairfax Medical Facilities Inc	4284663360	16

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. Lisa Yvette Henderson allows following entities to bill medicare on her behalf.

Entity Name	Internal Medicine Associates Of Ponca City Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811073158 PECOS PAC ID: 9931174463 Enrollment ID: O20040830000069

Entity Name	Fairfax Medical Facilities Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538183173 PECOS PAC ID: 4284663360 Enrollment ID: O20060209000250

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. Lisa Yvette Henderson 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 Address	Practice Location Address
Lisa Yvette Henderson, APRN 230 Turkle Ave, Haysville, KS 67060-1754 Ph: (316) 308-5768	Lisa Yvette Henderson, APRN Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 Ph: (605) 745-2000

Reviews and Comments

Nurse Practitioner Nurses in Fort Meade, SD

Alana Marie Mastin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Kristin Colhoff, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Sandra Limerick, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 Fax: 605-347-7204
Desirae Lynn Lloyd, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Mrs. Roslyn Grace Robb, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Karly R Haug, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Mrs. Dania Lynn Phelps, PSYCH NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 180-074-3107 Fax: 605-745-2806

Lisa Yvette Henderson, APRN - Medicare Nurse Practitioner in Fort Meade, SD