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

Cassandra Jane Henderson

Individual provider Nurse Practitioner · NPI 1184396848

Cassandra Jane Henderson is a Nurse Practitioner in San Angelo, Texas. Qualified in 2021, 5 years ago. Practices with Shannon Clinic, a 547-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone: (325) 747-2388
Fax: (325) 747-2389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1049417 (TX)

Record details

NPI number1184396848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address120 E Beauregard Ave, San Angelo, TX 76903-5919

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Angelo