Individual provider Active NPI

Emily Bengston, PA-C

  • Physician Assistant
  • Troy, OH
National Provider Identifier
1174016539
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3006 N County Road 25a Ste 104
Troy, OH 45373-1373
Phone
(937) 335-3518
Fax
(937) 332-6857
NPI assigned
Jun 11, 2018
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

3006 N County Road 25a Ste 104
Troy, OH 45373-1373

Mailing address

3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636
Phone (940) 498-4422

Other practice location 1

3600 Fm 2181 Ste 100
Hickory Creek, TX 75065-7636
Phone (940) 498-4422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebengston1369163@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20180823002006 TX Practitioner - Physician Assistant 1153670187 Reassigns benefits to 1 organization
I20250303002571 OH Practitioner - Physician Assistant 1153670187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Berry Women's Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

30 E Apple St
Dayton, OH 45409-2939

3006 N County Rd
25A Suite 104
Troy, OH 45373-1373
Phone (937) 277-4274

3130 N Count Rd
Troy, OH 45373-1337

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jul 1, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2018 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 7, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 7, 2025 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3006 N Dixie Hwy
Ste 104
Troy, OH 45373
Phone (937) 335-3518

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3600 FM 2181
Ste 100
Hickory Creek, TX 75065
Phone (940) 497-2204

Interoperability endpoints

  • Direct secure messaging: ebengston1369163@direct.texashealth.org

Organizations & group practices 6

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.

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1174016539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FM 2181 STE 100",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657636",
            "telephone_number": "940-498-4422",
            "fax_number": "940-321-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N COUNTY ROAD 25A STE 104",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-335-3518",
            "fax_number": "937-332-6857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Fm 2181 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hickory Creek",
            "state": "TX",
            "postal_code": "750657636",
            "country_code": "US",
            "telephone_number": "940-498-4422",
            "fax_number": "940-321-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENGSTON",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebengston1369163@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3600 Fm 2181 Ste 100",
            "city": "Hickory Creek",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750657636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.