Kerri Dawn Benning, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Turtle Lake, ND
NPI 1285018192 · NPPES record last updated Jul 10, 2015
Key facts
- NPI
- 1285018192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R31077 (ND)
- Practice address
- 104 Main Street
Turtle Lake, ND 58575 - Phone
- (701) 448-9244
- Fax
- (701) 448-2056
- NPI assigned
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Underwood Clinic PC
Practice addresses (Care Compare)
87 Lincoln Ave
Underwood, ND 58576-4020
Phone (701) 442-3148
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150811006041 | ND | Practitioner - Nurse Practitioner | 6305151937 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R31077 | ND | Yes |
Addresses
Primary practice location
104 Main Street
Turtle Lake, ND 58575
Mailing address
PO Box 535
Turtle Lake, ND 58575-0535
Phone (701) 448-9244
Other providers in Turtle Lake, ND
- Howard Carroll Anderson Jr.
- Whitney Violet Bruins
- Karen E Fisher
- Talesa Margaret Heger
- Sarah Kadrmas
- Curtis J Kroh
All providers in Turtle Lake, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.