Individual provider Active NPI

Chastity Caulder Benson, FNP

  • Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1053947150
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013013 Issued in NC
Practice address
2936 N Elm St Ste 102
Lumberton, NC 28358-2981
Phone
(910) 671-6619
Fax
(910) 608-0487
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013013 NC Primary

Addresses

Primary practice location

2936 N Elm St Ste 102
Lumberton, NC 28358-2981

Mailing address

2002 N Cedar St Ste B
Lumberton, NC 28358-3926
Phone (910) 272-3048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210405001561 NC Practitioner - Nurse Practitioner 0941617153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Integrated CareGroup PAC ID 3173806346, 5 clinicians

Practice addresses (Care Compare)

105 Farm Brook Dr
Lumberton, NC 28358-2179
Phone (910) 738-7789

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
81.28
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013013NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Integrated Care CurrentSince Oct 1, 2024 Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 24, 2021 Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 24, 2021 Accepting new patients

Locations

1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

4384 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 738-1141

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

105 Farm Brook Dr
Lumberton, NC 28358
Phone (910) 738-7789

3005 N Elm St
Lumberton, NC 28358
Phone 91067150005032

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619

Interoperability endpoints

  • Direct secure messaging: chastity.benson.1@25516.direct.athenahealth.com
  • Direct secure messaging: cbenson846113@direct.unc.nchie.net

Organizations & group practices 3

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 1

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1053947150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-272-3048",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 N ELM ST STE 102",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582981",
            "telephone_number": "910-671-6619",
            "fax_number": "910-608-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CHASTITY",
        "middle_name": "CAULDER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.