Doctor profile · Federal record
Dr. Jacquelynn Henderson, PA-C
Physician Assistant · Physician Assistant · Phoenix, AZ
- NPI 1003875253
- Accepts Medicare
- MIPS 84.1 / 100 · 2023
- 30 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4800 N 22Nd St
Phoenix, AZ 850164701
(602) 955-1000
fax (602) 508-4830
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- January 11, 2016
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Arizona #5994 · California #PA13970
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003875253. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
496
Distinct HCPCS
2
Medicare allowed
$44,574
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 403 | 403 | $93 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 93 | 88 | $75 |
In context: peer comparison
Among 183 peers in this city , average services per provider: 110. This provider delivers 4.5× the peer median.Frequently asked questions
What is Dr. Jacquelynn Henderson's medical specialty?
Dr. Jacquelynn Henderson practices Physician Assistant in Phoenix, AZ.
Where does Dr. Jacquelynn Henderson practice?
Dr. Jacquelynn Henderson practices at 4800 N 22Nd St, Phoenix, AZ 850164701. Office phone: 6029551000.
What is Dr. Jacquelynn Henderson's NPI?
Dr. Jacquelynn Henderson's National Provider Identifier (NPI) is 1003875253, issued by NPPES.
Does Dr. Jacquelynn Henderson accept Medicare assignment?
Yes. Dr. Jacquelynn Henderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacquelynn Henderson commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.