Shalisa Anne Henson
CNM | Nurse Practitioner | 8+ years Exp
430 N Pleasant Ave, Centralia
Illinois, 62801-3006
618-436-8350
Shalisa Anne Henson is a Centralia, Illinois based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shalisa Anne Henson is 209017353 for Nurse Practitioner in Illinois. Her current practice location is 430 N Pleasant Ave, Centralia. Patients can reach her at 618-436-8350. Shalisa Anne Henson is CNM and her NPI number (Unique professional ID assigned by NPPES) is 1598914905.
Shalisa Anne Henson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Shalisa Anne Henson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shalisa Anne Henson |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CNM |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 430 N Pleasant Ave, Centralia,
Illinois, 62801-3006 |
| Phone: | 618-436-8350 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2365500725 |
| Enrollment ID: | I20200413000128 |
| NPI Number: | 1598914905 |
| NPI Enumeration Date: | 10 Sep, 2008 |
| NPI Last Update On: | 21 May, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shalisa Anne Henson are as mentioned below.
| License Number | Specialization | State | Status | |
| 209017353 | Nurse Practitioner | Illinois | Primary | |
| 209007259 | Nurse Practitioner | Illinois | Secondary | |
| 2019040165 | Advanced Practice Midwife | Missouri | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (260141) | Columbia, MO | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shalisa Anne Henson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The Curators Of The University Of Missouri (4486759560) | 742 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shalisa Anne Henson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| CG2264 | Other | Illinois | RR GROUP ID |
| 207988001 | Other | Illinois | MEDICARE PTAN NUMBER |
| P00651305 | Other | Illinois | RAILROAD MEDICARE |
| 207988 | Other | Illinois | MEDICARE GROUP NUMBER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shalisa Anne Henson
430 N Pleasant Ave,
Centralia, Illinois |
| Zip: | 62801-3006 |
| Phone Number: | 618-436-8350 |
Patients can reach Shalisa Anne Henson at
430 N Pleasant Ave, Centralia, Illinois or can
call to book an appointment on 618-436-8350.
Comments/ Reviews:
Patients can read all the reviews posted for Shalisa Anne Henson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Shalisa Anne Henson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.