NPIMap

Individual provider Active NPI

Cheryl Jean Benck, OTR

  • Occupational Therapist
  • Saint Cloud, MN
National Provider Identifier
1114092483
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101882 Issued in MN
Practice address
1301 33Rd St S Ste 210
Saint Cloud, MN 56301-9668
Phone
(320) 240-6955
Fax
(320) 240-8089
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101882 MN Primary

Addresses

Primary practice location

1301 33Rd St S Ste 210
Saint Cloud, MN 56301-9668

Mailing address

1301 33Rd St S Ste 210
Saint Cloud, MN 56301-9668
Phone (320) 240-6955

Other practice location 1

251 County Rd 120
Suite A
Saint Cloud, MN 56303
Phone (320) 259-5429

Other identifiers 6

IdentifierTypeStateIssuer
264M1NOOtherMNBLUE CROSS BLUE SHIELD OF MN
6403085OtherMNSELECT CARE
7G249BEOtherMNBLUE CROSS BLUE SHIELD
6403358OtherMNMEDICA
HP43512OtherMNHEALTHPARTNERS
001287400MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbenck384242@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000112 MN Practitioner - Occupational Therapist in Private Practice 4880603026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Hospital 215 clinicians
Centracare Clinic 800 clinicians

Practice addresses (Care Compare)

1301 33Rd St S
Saint Cloud, MN 56301-9668
Phone (320) 240-6955

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 229-4922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101882MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health Systems Current Accepting new patients
Northern Star Therapy LTD Occupational Therapist Past Accepting new patients
Northern Star Therapy LTD Occupational Therapist Past Accepting new patients
Northern Star Therapy LTD Occupational Therapist Past Accepting new patients

Locations

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1114092483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 33RD ST S STE 210",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019668",
            "telephone_number": "320-240-6955",
            "fax_number": "320-240-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 33RD ST S STE 210",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019668",
            "telephone_number": "320-240-6955",
            "fax_number": "320-240-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 County Rd 120",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "56303",
            "country_code": "US",
            "telephone_number": "320-259-5429",
            "fax_number": "320-240-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENCK",
        "first_name": "CHERYL",
        "middle_name": "JEAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "264M1NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "6403085",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7G249BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6403358",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP43512",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001287400",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbenck384242@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cbenck384242@direct.centracare.com",
            "address_1": "1301 33rd St S Ste 210",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563019668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.