Jacquelynn Dian Henderson, PA-C
Physician Assistant · Phoenix, AZ
Jacquelynn Dian Henderson, PA-C is a physician assistant with a practice address in Phoenix, Arizona, and NPI 1003875253, issued on Mar 17, 2006. Check the license (Arizona 5994, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacquelynn Dian Henderson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 5994 AZ
PA13970 CA
Self-reported in NPPES; status is on the state search - Practice location
- 4800 N 22ND St, Phoenix, AZ 85016
- Phone
- (602) 955-1000
- Enumerated
- Mar 17, 2006
- Record last updated
- Jan 11, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (602) 508-4830
- Medicare enrollment
- Enrolled (PECOS I20151009001475); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 3,666 in Arizona → Look up another NPI →
Also registered at 4800 N 22ND St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jacquelynn Dian Henderson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 5994Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 84.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Barnet Dulaney Perkins Eye Center, PCSun City, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacquelynn Dian Henderson among 3,666 physician assistant records in Arizona
Jacquelynn Dian Henderson, PA-C is one of 3,666 physician assistant records with a practice address in Arizona. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 84% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1996 · median 2018 among the 2,207 with a school on file
- Record last updated2016 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
923 physician assistant records list a practice address in Phoenix
They are 923 of the 31,399 NPPES records with a practice address in Phoenix, and 3,666 physician assistant records in Arizona.
All 3,666 in Arizona → Every provider in Phoenix → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Naomi Alcock, PAPhoenix, AZ 850161457342214
- Kristen Beebe, P.A.-C.Phoenix, AZ 850161275511453
- Orlando Delgado, PA-CPhoenix, AZ 850161699749515
- David Dixon, PAPhoenix, AZ 850161417929720
- Henry Ellington, P.A.C.Phoenix, AZ 850161316921992
- Latisha Leonard Bernier, PA-CPhoenix, AZ 850161780649210
- Matthew Overlin, PAPhoenix, AZ 850161518916113
- Joyce-Nicole Pachence, PA-CPhoenix, AZ 850161275513723
Common questions
What is Jacquelynn Dian Henderson, PA-C's NPI number?
Jacquelynn Dian Henderson, PA-C's National Provider Identifier (NPI) is 1003875253, issued on Mar 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jacquelynn Dian Henderson, PA-C located?
The NPPES record lists a practice address at 4800 N 22ND St, Phoenix, AZ, 85016. Phone: (602) 955-1000. Providers update this record themselves, so call before visiting.
How can I verify Jacquelynn Dian Henderson, PA-C's license?
NPPES lists Arizona license number 5994, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
What is Jacquelynn Dian Henderson, PA-C's MIPS final score?
The 2023 MIPS final score is 84.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.