Stacie Henderson, PA

  • Provo, UT
  • Physician assistant
NPI1982288486PAC ID3375917032
Medicare patients, 2024
55
Part D claims, 2024
84
Industry payments
$23
Affiliated sites
2
Medical group
1
Practice address
1055 North 500 West, Ste 112, Provo, UT 84604
Practice phone
Call (801) 812-4624
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Revere Health Provo Imaging

Mammography / Breast Imaging Center · Provo, Utah

See all 3 affiliations

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Stacie Henderson is a physician assistant in Provo, Utah

Stacie Henderson practices at Revere Health Provo Imaging in Provo, Utah.

Stacie Henderson's NPI, 1982288486, was assigned on May 11, 2021. Stacie Henderson graduated from University of Utah School of Medicine in 2022. Stacie Henderson holds Utah license 13182462-1206.

NPI and contact details
Medicare PAC ID
3375917032
NPI enumeration date
May 11, 2021
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(801) 812-4624
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
30
Medical school graduation
2022

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Stacie Henderson practices at Revere Health Provo Imaging in Provo, Utah

Stacie Henderson's primary practice is Revere Health Provo Imaging, at 1055 North 500 West, Ste 112, Provo, UT 84604. The practice phone is (801) 812-4624.

  • Revere Health Provo Imaging
    1055 North 500 West, Ste 112, Provo, UT 84604Phone(801) 812-4624

Source: Dmand AI Affiliation Data

Stacie Henderson is affiliated with 2 sites of care and 1 medical group

Stacie Henderson's primary practice is Revere Health Provo Imaging in Provo, Utah. The medical group on file is Revere Health. Dmand AI also links Stacie Henderson to 1 more group practice or clinic, named with a free account. Stacie Henderson's employer is on file too: a breast imaging center.

See all 3 affiliations for Stacie Henderson

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Stacie Henderson's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Stacie Henderson practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Revere Health Provo ImagingAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Stacie Henderson is one of 1,645 physician assistants in Utah

Physician assistant is Stacie Henderson's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Stacie Henderson is licensed in Utah.

Specialties and state licenses

  • Physician assistant, UtahPrimaryLicense 13182462-1206 · taxonomy 363A00000X

Physician assistants near Stacie Henderson

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Stacie Henderson treated 55 Medicare patients in 2024, average age 73

CMS counts 55 Medicare patients who saw Stacie Henderson in 2024. The largest group is 65 to 74, with 28 patients. 75% of them have arthritis, and 75% have high blood pressure. Their average risk score is 1.14, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Stacie Henderson's median patient age at 38, with 45% women.

Medicare patients, 202455
Average age73
Average risk score1.14

Stacie Henderson's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Stacie Henderson's Medicare patients by sex, 2024

  • Women3055%
  • Men2545%

Chronic conditions among Stacie Henderson's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol69%
  4. Diabetes40%
  5. Ischemic heart disease35%
  6. Mood disorders31%
  7. Anxiety27%
  8. Depression27%

Share of Medicare patients with each condition. A patient can have several.

Stacie Henderson's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 38

Patient panel by sex, all payers

  • Women45%
  • Men55%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Stacie Henderson wrote 84 Medicare Part D claims in 2024

In 2024, Stacie Henderson wrote 84 Medicare Part D claims for 51 patients. 94% of them were for generic drugs.

Part D claims, 202484
Part D patients51

Stacie Henderson's Part D claims by kind of drug, 2024

  • Generic79 claims94%
  • Brand-name and other5 claims6%

Drug classes CMS tracks in Stacie Henderson's Part D claims, 2024

  • Antibiotics32%27 of 84 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Stacie Henderson takes part in Medicare

Stacie Henderson accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Stacie Henderson received $23 in industry payments in 2025

CMS Open Payments shows 2 general payments to Stacie Henderson from 2 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Eli Lilly and Company paid the most, $15.

Companies that paid Stacie Henderson the most, 2025 to 2025

Share is of all general payments to this clinician.

See all payments to Stacie Henderson

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Stacie Henderson graduated from University of Utah School of Medicine

Stacie Henderson graduated from University of Utah School of Medicine in 2022.

  1. Medical schoolUniversity of Utah School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Stacie Henderson's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Stacie Henderson

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Stacie Henderson's NPI number?

Stacie Henderson's NPI number is 1982288486. It was assigned on May 11, 2021, and it is active in the NPI Registry.

What does Stacie Henderson specialize in?

Stacie Henderson is a physician assistant in Provo, Utah. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Stacie Henderson practice?

Stacie Henderson practices at 1055 North 500 West, Ste 112, Provo, UT 84604. Stacie Henderson's primary practice is Revere Health Provo Imaging in Provo, Utah. Dmand AI also links Stacie Henderson to 1 group practice or clinic.

What is Stacie Henderson's office phone number?

The practice phone on file for Stacie Henderson is (801) 812-4624.

What is Stacie Henderson's medical license number?

Stacie Henderson holds Utah license 13182462-1206.

What medical group is Stacie Henderson part of?

Stacie Henderson is linked to Revere Health.

Does Stacie Henderson accept Medicare?

Yes. CMS lists Stacie Henderson as accepting Medicare assignment.

How many Medicare patients does Stacie Henderson see?

CMS counts 55 Medicare patients who saw Stacie Henderson in 2024, with an average age of 73.

Where did Stacie Henderson go to medical school?

Stacie Henderson graduated from University of Utah School of Medicine in 2022.

Has Stacie Henderson received payments from drug or device companies?

CMS Open Payments shows $23 in general payments to Stacie Henderson from 2 companies from 2025 to 2025. The largest total came from Eli Lilly and Company.

How long has Stacie Henderson been practicing?

Stacie Henderson graduated from medical school in 2022, 4 years ago.

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