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

Shannon Henderson, NP

Individual provider Nurse Practitioner · NPI 1740532480

Shannon Henderson, NP is a Nurse Practitioner in Medford, Oregon. Qualified in 2012, 14 years ago. Practices with Asante, a 135-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina and Oregon.

Years since qualifying
14
Licensed in
NC, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

520 Medical Center Dr Ste 201
Medford, OR 97504-4334
Phone: (541) 789-5711
Fax: (541) 789-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 373-0212
  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202004735NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 5009257 (NC)

Record details

NPI number1740532480
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 4, 2012
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Asante — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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