Active NPI
Peggie Ann Bensch, MD
- Internal Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M-11715
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-7350
- NPI assigned
- Jun 20, 2006
- Last updated
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00037723 | WA | |
| Internal Medicine Physician | 207R00000X | M-11715 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
Other practice location 1
939 Caroline St
Port Angeles, WA 98362-3997
Phone (360) 417-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4741 | AK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Internal Medicine PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Idaho- Nampa PLLC | Current | Accepting new patients | |
| Sound Physicians of Idaho | Internal Medicine | Current | Accepting new patients |
Locations
247 N Fireweed St
Ste A
Soldotna, AK 99669
Phone (907) 262-8597
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- pbensch1564086@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lewiston, ID
- NPI 1558995316
-
dba Sound Physicians
- Hospitalist Physician
- Lewiston, ID
- NPI 1730407461
Internal Medicine
-
- Internal Medicine Physician
- Soldotna, AK
- NPI 1285661959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1164468187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-7350"
}
],
"practiceLocations": [
{
"address_1": "939 Caroline St",
"address_purpose": "LOCATION",
"city": "Port Angeles",
"state": "WA",
"postal_code": "983623997",
"country_code": "US",
"telephone_number": "360-417-7000",
"fax_number": "360-565-9241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSCH",
"first_name": "PEGGIE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00037723",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M-11715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.