Mrs Khacerrian Stanley Henderson, FNP - Medicare Nurse Practitioner in Collierville, TN

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Mrs Khacerrian Stanley Henderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Collierville, Tennessee. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Segue Health Of Mississippi Llc and her current practice location is 240 New Byhalia Rd, Collierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 492-4920.

Mrs Khacerrian Stanley Henderson is licensed to practice in Tennessee (license number 32354) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134843527.

Contact Information

Mrs Khacerrian Stanley Henderson, FNP
240 New Byhalia Rd,
Collierville, TN 38017-3716
(901) 492-4920
Not Available

Map and Direction




Provider's Profile

Full NameMrs Khacerrian Stanley Henderson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location240 New Byhalia Rd, Collierville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Khacerrian Stanley Henderson graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1134843527
  • Provider Enumeration Date: 09/28/2022
  • Last Update Date: 06/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7911371364
  • Enrollment ID: I20250829000929

Medical Identifiers

Medical identifiers for Mrs Khacerrian Stanley Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134843527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 32354 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Home Care And Hospice North MississippiBatesville, MSHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Segue Health Of Mississippi Llc276975789723

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. Mrs Khacerrian Stanley Henderson allows following entities to bill medicare on her behalf.
Entity NameWound Care Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568793750
PECOS PAC ID: 0840314548
Enrollment ID: O20160920000827
Entity NameSegue Health of Mississippi LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467989954
PECOS PAC ID: 2769757897
Enrollment ID: O20170929000305

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. Mrs Khacerrian Stanley 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
Mrs Khacerrian Stanley Henderson, FNP
Po Box 932958,
Cleveland, OH 44193-0028

Ph: Not Available		Mrs Khacerrian Stanley Henderson, FNP
240 New Byhalia Rd,
Collierville, TN 38017-3716

Ph: (901) 492-4920

Reviews and Comments


Nurse Practitioner Nurses in Collierville, TN

Amanda Wilson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 472 W Poplar Ave, 101, Collierville, TN 38017
Phone: 901-854-5771    
Richard Albert Keenan Jr., FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 W Poplar Ave Ste 206, Collierville, TN 38017
Phone: 901-861-8484    Fax: 901-861-8489
Brandalon Marie Fly, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 240 New Byhalia Rd, Collierville, TN 38017
Phone: 901-492-4920    
Mrs. Allison Tolar Darnell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1011 W Poplar Ave Ste 7, Collierville, TN 38017
Phone: 901-446-0226    
Candace Harris, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1204 W Poplar Ave, Suite 102, Collierville, TN 38017
Phone: 901-610-3135    
Dr. Katherine Ann Palo, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 468 Halle Park Dr, Collierville, TN 38017
Phone: 901-450-4554    
Heather Jones Boals, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 458 Old Oak Ln, Collierville, TN 38017
Phone: 901-275-0630    

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.