Theodore Heninger, APRN FNP-BC
NPI 1275266728 · Family Nurse Practitioner · Jupiter, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Heninger, APRN FNP-BC is a Family Nurse Practitioner provider in Jupiter, FL (NPI 1275266728).
Provider details
- NPI number
- 1275266728
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN FNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- APRN11020469 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,401 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 460 | $78 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 232 | $97 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 170 | $69 |
| Automated Urinalysis Test81003 | 145 | $2 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $110 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 140 | 135 |
| Mupirocin | 109 | 103 |
| Prednisone | 108 | 105 |
| Doxycycline Hyclate | 86 | 84 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 76 | 73 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 59 | 54 |
| Cephalexin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-01
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Frequently asked questions
- What is Theodore Heninger's NPI number?
- Theodore Heninger's National Provider Identifier (NPI) is 1275266728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Heninger's specialty?
- Theodore Heninger is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodore Heninger located?
- Theodore Heninger's practice location on file with NPPES is 1335 W Indiantown Rd, Jupiter, FL 33458-4631.
- What is Theodore Heninger's phone number?
- The practice phone number listed in the NPPES registry for Theodore Heninger is (561) 263-7010.
- Does Theodore Heninger accept Medicare?
- Theodore Heninger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Heninger's NPI active?
- Yes — Theodore Heninger's NPI (1275266728) is active in the NPPES registry as of the last update on 2023-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.