Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyse Henderson

Individual provider Physician Assistant · NPI 1205498656

Alyse Henderson is a Physician Assistant in Fergus Falls, Minnesota. Qualified in 2019, 7 years ago. Practices with Prairie Ridge Hospital and Health Services, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

712 S Cascade St
Fergus Falls, MN 56537-2913
Phone: (218) 736-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13057 (MN)

Record details

NPI number1205498656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2019
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address228 E Hillside Ave, Fergus Falls, MN 56537-1291

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prairie Ridge Hospital And Health Services — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fergus Falls