Justin Henderson, NP - Medicare Nurse Practitioner in Hayden, ID

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Justin Henderson, NP is a medicare enrolled "Nurse Practitioner" in Hayden, Idaho. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kootenai Urgent Care Llc, Indigo Idaho Services, Llc, Multicare Health System and his current practice location is 151 W Prairie Ave, Hayden, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 719-4880.

Justin Henderson is licensed to practice in Idaho (license number 68018) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770112138.

Contact Information

Justin Henderson, NP
151 W Prairie Ave,
Hayden, ID 83835-8284
(208) 719-4880
Not Available

Map and Direction




Provider's Profile

Full NameJustin Henderson
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location151 W Prairie Ave, Hayden, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Henderson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1770112138
  • Provider Enumeration Date: 04/07/2020
  • Last Update Date: 02/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8820410673
  • Enrollment ID: I20210722002308

Medical Identifiers

Medical identifiers for Justin Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770112138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 68018 (Idaho)Primary
363LF0000XNurse Practitioner - Family 9132375-4405 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Urgent Care Llc105244194619
Indigo Idaho Services, Llc18507503739
Multicare Health System77198998971815

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. Justin Henderson allows following entities to bill medicare on his behalf.
Entity NameMichael R Dibenedetto Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809727
PECOS PAC ID: 0840385670
Enrollment ID: O20071009000187
Entity NameKootenai Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821312356
PECOS PAC ID: 1052441946
Enrollment ID: O20100621000358

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. Justin 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 AddressPractice Location Address
Justin Henderson, NP
151 W Prairie Ave,
Hayden, ID 83835-8284

Ph: (208) 719-4880		Justin Henderson, NP
151 W Prairie Ave,
Hayden, ID 83835-8284

Ph: (208) 719-4880

Reviews and Comments


Nurse Practitioner Nurses in Hayden, ID

Elizabeth Lynn,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 827 W Prairie Ave Ste 206, Hayden, ID 83835
Phone: 208-261-2411    
Mrs. Betsy Dale Poot Poot, ARNP, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1286 W Leisure Dr, Hayden, ID 83835
Phone: 360-421-2520    
Susan Cross, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Hospice Of North Idaho, 9493 N Government Way, Hayden, ID 83835
Phone: 208-772-7994    
Dorothy Teresa Mccree, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8836 N Hess St Ste C, Hayden, ID 83835
Phone: 208-762-7760    Fax: 208-762-7740
Mr. Jacob C Reedy, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1986 W. Hayden Ave, Hayden, ID 83835
Phone: 208-762-7760    Fax: 208-762-7740
Nikole Arrotta Tabaracci, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835
Phone: 208-635-5265    
Cindy Barnes, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8500 N Atlas Rd, Hayden, ID 83835
Phone: 208-415-5270    Fax: 208-415-5101

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.