MR. CORY RYAN HENDERSON PA-C
NPI 1174883292
Physician Assistant - Medical in Mcconnell Afb, KS
NPI Status: Active since May 23, 2012
Contact Information
57950 LEAVENWORTH ST
MCCONNELL AFB, KS
ZIP 67221
Phone: (316) 759-5120
Fax: (316) 759-6553
- Individual
- Male
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About CORY HENDERSON
This page provides the complete NPI Profile along with additional information for Cory Henderson, a primary care provider established in Mcconnell Afb, Kansas with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1174883292 assigned on May 2012. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1174883292
- Provider Name
- MR. CORY RYAN HENDERSON PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221
- Location Phone
- (316) 759-5120
- Location Fax
- (316) 759-6553
- Mailing Address
- 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221
- Mailing Phone
- (316) 759-5120
- Mailing Fax
- (316) 759-6553
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-23-2012
- Last Update Date
- 08-15-2022
- Code Navigator
A primary care provider (PCP) like Cory Henderson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Cory Henderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MR. CORY RYAN HENDERSON PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 8 | 3 | 2 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 8 | 6 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 8 + 6 + 2 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1174883292 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912993684 | DR. DONALD E CHRISTENSEN D.O. Individual | Preventive Medicine (Aerospace Medicine) | 57950 LEAVENWORTH ST ATTN CREDENTIALS OFFICE MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1609863000 | DR. DAVID A ALCINDOR M.D. Individual | Family Medicine | 57950 LEAVENWORTH ST 22 MDG SGQ MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1558352617 | NENITA S DIEGO M.D. Individual | Pediatrics | 57950 LEAVENWORTH ST 22D MEDICAL GROUP MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1518944131 | MARILYN R BRANDT WHCNP Individual | Nurse Practitioner (Women's Health) | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-6300 |
| 1710964424 | LEE D SHIBLEY PT Individual | Physical Therapist | 57950 LEAVENWORTH ST ATTN CREDENTIALS OFFICE MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1861479511 | DOROTHY A HOGG WHCNP Individual | Nurse Practitioner (Women's Health) | 57950 LEAVENWORTH ST ATTN CREDENITALS OFFICE MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1952375065 | DR. DANIEL DAVID FRIDMAN DMD Individual | Dentist (General Practice) | 57950 LEAVENWORTH ST SUITE 4E1 MCCONNELL AFB, KS 67221 (316) 759-4493 |
| 1053376616 | ALISA A NORLIN LSCSW Individual | Social Worker (Clinical) | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5768 |
| 1063460905 | TY HUNT MPT Individual | Physical Therapist | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1225083090 | DIANE TODD PHD Individual | Psychologist (Clinical) | 57950 LEAVENWORTH ST 22D MEDICAL GROUP MCCONNELL AFB, KS 67221 (316) 759-5091 |
| 1215974514 | RICHARD L NAULT MSW Individual | Social Worker (Clinical) | 57950 LEAVENWORTH ST 22 MDG MCCONNELL AFB, KS 67221 (316) 759-5768 |
| 1154345783 | DONITTA L GARDINER Individual | Counselor (Addiction (Substance Use Disorder)) | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5864 |
| 1326130089 | KENT TAYLOR BROBERG MD Individual | Family Medicine | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5050 |
| 1255530127 | CAROLINE B COFFEY LMSW Individual | Social Worker | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5091 |
| 1093986994 | HILARY GREMMINGER Individual | Pharmacist | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5277 |
| 1427285170 | DR. AARON THOMAS KRANCE D.M.D. Individual | Dentist (General Practice) | 57950 LEAVENWORTH ST 22D MEDICAL GROUP MCCONNELL AFB, KS 67221 (316) 759-4492 |
| 1932489861 | DR. JACK WILLIAM DRAKEFORD PHARMD Individual | Pharmacist | 57950 LEAVENWORTH ST SUITE 5D4 MCCONNELL AFB, KS 67221 (316) 759-5066 |
| 1174848204 | DR. TIMOTHY EDWARD JANKOWSKI DDS Individual | Dentist | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (785) 738-8356 |
| 1740613397 | BROOKE ELIZABETH PRINE IDMT Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221 (316) 759-5116 |
| 1265817878 | MS. RACHEL M GURLEY LGSW Individual | Social Worker | 57950 LEAVENWORTH ST 22 MDOS/ SGOW MCCONNELL AFB, KS 67221 (316) 759-5091 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174883292, enumerated in the NPI registry as an "individual" on May 23, 2012
The provider is located at 57950 Leavenworth St Mcconnell Afb, Ks 67221 and the phone number is (316) 759-5120
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 23, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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