Mr Kelly Henry, NNP in Fort Liberty, NC - Medicare Nurse Practitioner

Mr Kelly Henry, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Fort Liberty, North Carolina. His current practice location is 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-8922.

Mr Kelly Henry is licensed to practice in North Carolina (license number 5014289) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245724723.

Contact Information

	Mr Kelly Henry, NNP
	2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-0001
	(910) 907-8922
	(910) 907-6069

Map and Direction

Provider's Profile

Full Name	Mr Kelly Henry
Gender	Male
Speciality	Nurse Practitioner - Neonatal
Location	2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245724723
Provider Enumeration Date: 06/19/2018
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9931547999
Enrollment ID: I20240410000112

Medical Identifiers

Medical identifiers for Mr Kelly Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245724723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	5014289 (North Carolina)	Primary

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. Mr Kelly Henry allows following entities to bill medicare on his behalf.

Entity Name	Hugh Chatham Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447373063 PECOS PAC ID: 2062311442 Enrollment ID: O20040717000340

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. Mr Kelly Henry 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
Mr Kelly Henry, NNP 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-0001 Ph: (910) 907-8922	Mr Kelly Henry, NNP 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-0001 Ph: (910) 907-8922

Reviews and Comments

Nurse Practitioner Nurses in Fort Liberty, NC

Judith Anne Moon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069
Mrs. Miranda Ammons Hilburn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5-4257 Bastogne Drive, Fort Liberty, NC 28310 Phone: 910-907-9066
Aemonn Barnes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-6069
Beth R Gilchrist, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Clark Health Clinic 5-4257 Bastogne St, Fort Liberty, NC 28310 Phone: 910-907-2575 Fax: 910-907-9606
Richkard Saint Louis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Clark Health Clinic Womack 5-4257 Bastonge St, Fort Liberty, NC 28310 Phone: 910-907-2575 Fax: 910-907-9606
Amy Jeanne Jnah, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069

Mr Kelly Henry, NNP - Medicare Nurse Practitioner in Fort Liberty, NC