Cheyenne Benton, APRN, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1703175 Issued in TX

Practice address

17350 St Lukes Way Ste 400
The Woodlands, TX 77384-4167

Phone

(281) 444-3278

NPI assigned

May 3, 2022

Sex

Female

Sole proprietor

Yes

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 TX

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: cbenton294390@direct.stlukeshealth.org

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.

• Baylor St. Luke's Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Acute Care

  Medicare reassignment Care Compare group NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• East Texas Clinical Services Inc

  • Internal Medicine Physician
  • Shenandoah, TX
  • NPI 1326596776
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1225773351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 W TITAN SPRINGS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894370",
            "telephone_number": "214-934-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844167",
            "telephone_number": "281-444-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Medical Park Ln Ste D",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404957",
            "country_code": "US",
            "telephone_number": "936-266-3516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17350 St Lukes Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773844103",
            "country_code": "US",
            "telephone_number": "281-444-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 E Mossy Oaks Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773891813",
            "country_code": "US",
            "telephone_number": "281-444-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20207 Chasewood Park Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770701442",
            "country_code": "US",
            "telephone_number": "281-444-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 I 45 N Ste 210",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773045076",
            "country_code": "US",
            "telephone_number": "281-444-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "CHEYENNE",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1703175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Lemonne Benjamin-Bubb, LPC-A
• Brian Bennett, MD, MPH
• James Bennett, M.D.
• Benny J. Sanchez, M.D. & Associates
• Arreiva L Benson-Papillion, PHARMD
• John Preston Beralas
• Camille Berg, LPC
• Diane E Bergeron, NP
• Ashleigh Bergquist, CPNP-AC
• Jason Ertan Berilgen, MD

• Acute Care Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.