Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982288486 Individual Practitioner Female Practitioner

Stacie Henderson , PA

Physician Assistant • Spanish Fork, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacie Henderson, PA is a certified Physician Assistant practicing in Spanish Fork, UT. With approximately 4 years of clinical experience since graduating from University Of Utah School Of Medicine in 2022, Stacie Henderson delivers high-quality medical care to the local community at 972 N 600 E.

Stacie Henderson is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

972 N 600 E

Spanish Fork, UT 846601306

Telephone 8014654896
Fax 8014653267
Associated Practice Facility / Clinic
🏢 Central Utah Clinic Pc Facility NPI 1851142285

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spanish Fork, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Spanish Fork, UT (1904 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henderson (4 Years) 4 Yrs
Spanish Fork Specialty Average (8.4 Years) 8.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
178 26 $3.00 $1.00
99213 Established patient office or other outpatient visit, typically 15 minutes
35 30 $152.74 $73.03
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
27 19 $274.67 $91.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 19 $216.00 $103.50

Medical Specialties & State Licenses

CMS Verified: 2023-03-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 13182462-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8013737350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Lacey Winkel , FNP-C

Nurse Practitioner - Family

NPI 1003517913

Family Nurse Practitioner (Certified)

Robert Wright , PA-C

Physician Assistant

NPI 1073284345

Physician Assistant (Certified)

Dr. Frank Archer , MD

Family Medicine

NPI 1093710998

Doctor of Medicine (M.D.)

George Baker , PA-C

Physician Assistant

NPI 1124046370

Physician Assistant (Certified)

Kaitlyn Albrecht , MSN, RN, FNP-BC

Nurse Practitioner - Primary Care

NPI 1174141964

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Bryn Nelson , FNP-C

Nurse Practitioner - Family

NPI 1184439119

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 09, 2023

Registered at 972 N 600 E, SPANISH FORK, UT 846601306 (Tel: 8014654896)

📍
Updated Business Mailing Address March 09, 2023

Registered at 1055 N 500 W, ATTN. CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2021

Registered at 375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 841081261 (Tel: 8018517766)

📍
Updated Business Mailing Address May 11, 2021

Registered at 375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 841081261 (Tel: 8018517766)

👤
Provider Name / Credentials Updated May 11, 2021

Recorded as STACIE HENDERSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Stacie Henderson. Be the first to share your experience!

Sign in to leave a review for Stacie Henderson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982288486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2021
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

1055 N 500 W, Attn. Credentialing

Provo, UT 846043305

Phone: 8013548225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.