Kaitlyn Ann Benjamin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110909 Issued in FL

Practice address

1012 Goodlette-Frank Rd N Ste 100
Naples, FL 34102-5463

Phone

(239) 300-9767

Fax

(239) 842-1273

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kirsch Mso LLCGroup PAC ID 7517497621, 3 clinicians

Kirsch Dermatology LLCGroup PAC ID 7810248135, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: kbenjamin@directaddress.net

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.

• Kirsch Mso LLC

  • Dermatology Physician
  • Naples, FL
  • NPI 1063223337
  Medicare reassignment Care Compare group
• Kirsch Mso LLC

  dba Kirsch Dermatology

  • Dermatology Physician
  • Naples, FL
  • NPI 1700372182
  Medicare reassignment Care Compare group
• DB Facial Plastic Surgery Inc

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Naples, FL
  • NPI 1033088372
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1144729518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 GOODLETTE-FRANK RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025463",
            "telephone_number": "239-300-9767",
            "fax_number": "239-842-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 GOODLETTE-FRANK RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025463",
            "telephone_number": "239-300-9767",
            "fax_number": "239-842-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilo Benitez, D.P.M.
• Destiny Benitez
• Maria Carla Benitez
• Nathaly Benitez
• Stella Benitez, LMT
• Angel J Benmaman Medina, DDS
• Melissa W Bennett, MS, CCC-SLP
• Eddy Benoit, M.D.
• Gabriella Benoit
• Angella M Benson, ARNP

• Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.