Doctor profile · Federal record

Dr. Jacqueline Henderson, MSN

Adult Health Nurse Practitioner (CMS: Nurse Practitioner) · Philadelphia, PA

  • NPI 1063084002
  • Accepts Medicare
  • 5 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
211 S 9Th St Ste 500
Philadelphia, PA 191076810
(215) 955-6175
Mailing address
137 Landover RD
Bryn Mawr, PA 190103702

Credentials & registration

NPPES · NUCC
NPI registered
July 2021 — 5 yrs on file
Profile last updated
August 22, 2024
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363LA2200X — NUCC code
State license (1)
Pennsylvania #SP025292

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063084002. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$156
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Inspire Medical Systems, Inc. 1 $156.05

By nature of payment

Food and Beverage
$156

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacqueline Henderson's medical specialty?
Dr. Jacqueline Henderson practices Adult Health Nurse Practitioner in Philadelphia, PA.
Where does Dr. Jacqueline Henderson practice?
Dr. Jacqueline Henderson practices at 211 S 9Th St Ste 500, Philadelphia, PA 191076810. Office phone: 2159556175.
What is Dr. Jacqueline Henderson's NPI?
Dr. Jacqueline Henderson's National Provider Identifier (NPI) is 1063084002, issued by NPPES.
Does Dr. Jacqueline Henderson accept Medicare assignment?
Yes. Dr. Jacqueline Henderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.