Individual provider Active NPI

Nicole S Benzing, PAC

  • Medical Physician Assistant
  • York, PA
National Provider Identifier
1003553306
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063808 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 851-2465
Fax
(717) 741-3043
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X C0008546 MD
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X MA063808 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (304) 934-4433

Other practice location 1

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 493-4443

Other practice location 2

19803 Executive Park Cir
Germantown, MD 20874-2649
Phone (301) 540-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220901001172 PA Practitioner - Physician Assistant 4183008675 Reassigns benefits to 1 organization
I20230915002531 MD Practitioner - Physician Assistant 4183008675 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Lifebridge Orthopedic Specialists LLCGroup PAC ID 4082928098, 46 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676

1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465

25 Monument Rd
York, PA 17403-5073

5415 Old Court Rd
S04
Randallstown, MD 21133-5170
Phone (410) 701-4437

Hospital & facility affiliations

  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008546MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2023 Accepting new patients
Lifebridge Orthopedic Specialists, LLC CurrentSince Oct 27, 2025 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Aug 1, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Oct 3, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Oct 3, 2022 Accepting new patients
Mep Observation Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Smita P. Mengers, MD Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5415 Old Court Rd
Ste S04
Randallstown, MD 21133
Phone (410) 701-4437

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

1001 S George St
Fl 2
York, PA 17403
Phone (717) 851-2914

1001 S George St
York, PA 17403
Phone (717) 812-7687

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: nbenzing310303@wellspan.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AICEBA/Endpoint/AICEBA

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1003553306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "304-934-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2465",
            "fax_number": "717-741-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Dressler Rd NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "44718",
            "country_code": "US",
            "telephone_number": "330-493-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19803 Executive Park Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742649",
            "country_code": "US",
            "telephone_number": "301-540-7496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZING",
        "first_name": "NICOLE",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0008546",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.