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

Cassandra Jane Henderson

Individual provider Nurse Practitioner · NPI 1184396848

Cassandra Jane Henderson is a Nurse Practitioner in San Angelo, Texas. Qualified in 2021, 5 years ago. Practices with Shannon Clinic, a 547-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone: (325) 747-2388
Fax: (325) 747-2389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1049417 (TX)

Record details

NPI number1184396848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Angelo