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Chuck Henderson , PA-C

Physician Assistant • Hurlburt Field, FL

Active NPI 1396793956 Individual Practitioner Male Practitioner
Practice location in NPPES

113 Lielmanis Ave
Hurlburt Field, FL 325445613

Call 8508812448 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Telephone 8508812448
Organization at the Same NPPES Address or Phone
1st Spcl Ops Medgrp-Hurlburt Facility NPI 1568442630

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hurlburt Field and Florida

14 active clinicians are listed under Physician Assistant with a practice address in Hurlburt Field, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hurlburt Field

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Wendy Born , CNP

Nurse Practitioner - Family

NPI 1023552155

Certified Nurse Practitioner

Dr. Kerry Brantly , DDS

Dentist - General Practice

NPI 1891800942

Doctor of Dental Surgery

Dr. Ronald Day , DO, MPH

Preventive Medicine - Aerospace Medicine

NPI 1174599476

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Matthew Edgar , DO

Emergency Medicine

NPI 1104356880

Doctor of Osteopathic Medicine (D.O.)

Allie Foster , APRN

Nurse Practitioner - Family

NPI 1407375728

Advanced Practice Registered Nurse

NPI 1255860631

Physical Therapist, Doctor of Physical Therapy, Certified Athletic Trainer

Career & Practice History

NPI enumerated May 05, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1396793956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

704 Wenona Way

Eglin Afb, FL 325421646

Phone: 8506512923

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.