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

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 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 Name	Justin Henderson
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	151 W Prairie Ave, Hayden, Idaho
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1770112138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	68018 (Idaho)	Primary
363LF0000X	Nurse Practitioner - Family	9132375-4405 (Utah)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indigo Idaho Services, Llc	1850750373	11
Multicare Health System	7719899897	2296

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 Name	Michael R Dibenedetto Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083809727 PECOS PAC ID: 0840385670 Enrollment ID: O20071009000187

Entity Name	Kootenai Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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
Kristy L Easton, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9321 N Government Way Ste E, Hayden, ID 83835 Phone: 208-664-0165 Fax: 208-664-5695
Mr. Jacob C Reedy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1986 W. Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740
Marie Singleton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3004 W Strawberry Ln, Hayden, ID 83835 Phone: 850-776-7431

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