Breanne Henderson, PA-C
NPI 1083213946ActiveIndividual· Physician Assistant· Beavercreek, OH
Physician Assistant (PA-C) in Beavercreek, Ohio, licensed in OH, with an NPI issued in October 2020. Medicare paid $52,400 for services to 716 patients in 2024. Lists Miami Valley Hospital as a hospital affiliation.
Overview
| NPI | 1083213946 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 21, 2020 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.006593RX | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 716 |
|---|---|
| Services billed | 1,127 across 7 procedure codes |
| Paid by Medicare | $52,400 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliation
- Miami Valley HospitalDayton, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Beavercreek
- 1104491414
- 1861227548
- 1942788799
- 1346707379
- 1821293341
- 1073438925
- 1629754379
- 1427426816
- 1659873032
- 1154519239
- 1053921650
- 1558306035