Kelley Marie Henson, N.P.
NPI 1205060415ActiveIndividual· Nurse Practitioner, Pediatrics· Cannon Afb, NM
Nurse Practitioner, Pediatrics (N.P.) in Cannon Afb, New Mexico, licensed in VA and TN, with an NPI issued in May 2009.
Overview
| NPI | 1205060415 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | May 4, 2009 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 0024169514 | VA |
| Nurse Practitioner, Pediatrics | 363LP0200X | APN13239 | TN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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