Active NPI
CB Benway, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Hagerstown, MD
National Provider Identifier
1295740744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R197206
- Practice address
- 13327 Wisdom Way
Hagerstown, MD 21742-1513 - Phone
- (240) 970-7300
- Fax
- (240) 231-9755
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R197206 | MD | Primary |
Addresses
Primary practice location
13327 Wisdom Way
Hagerstown, MD 21742-1513
Mailing address
13327 Wisdom Way
Hagerstown, MD 21742-1513
Phone (240) 970-7300
Other practice location 1
201 Prospect Ave # 158
Hagerstown, MD 21742
Phone (240) 970-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13327 Wisdom Way
Hagerstown, MD 21742-1513
Phone (240) 970-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002757 | CT | MD | Optometrist |
| R197206 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hagerstown, MD
- NPI 1679053540
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1295740744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13327 WISDOM WAY",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421513",
"telephone_number": "240-970-7300",
"fax_number": "240-231-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13327 WISDOM WAY",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421513",
"telephone_number": "240-970-7300",
"fax_number": "240-231-9755"
}
],
"practiceLocations": [
{
"address_1": "201 Prospect Ave # 158",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "21742",
"country_code": "US",
"telephone_number": "240-970-7300",
"fax_number": "240-231-9755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENWAY",
"first_name": "CB",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2021-08-10",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R197206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.