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

Teresa Rose Henderson, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1083496442

Teresa Rose Henderson, NURSEPRACTITIONER is a Nurse Practitioner in Belmont, Massachusetts. Qualified in 2023, 3 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

115 Mill St
Belmont, MA 02478-1064
Phone: (617) 855-2356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2621 — (617) 855-2354

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN262715 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN262715 (MA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN262715 (MA)

Record details

NPI number1083496442
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Belmont