Shalisa Anne Henson is a Centralia, Illinois based nurse practitioner with 7 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 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:
7+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
430 N Pleasant Ave, Centralia, Illinois, 62801-3006
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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.