Paulette Benson, FNP PAC
Individual provider Active NPI Family Nurse Practitioner · Wishek, ND
NPI 1295767994 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1295767994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R19454 (ND)
- Practice address
- 1007 4TH Ave S
Wishek, ND 58495-7527 - Phone
- (701) 452-2364
- Fax
- (701) 452-4276
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of North Dakota School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wishek Hospital-Clinic Association
Practice addresses (Care Compare)
1015 4TH Ave S
Wishek, ND 58495-0647
1015 4TH Ave S
Wishek, ND 58495-7527
Phone (701) 452-2364
PO Box
Suite 647
Wishek, ND 58495
Hospital & facility affiliations
- South Central Health
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 |
|---|---|---|---|---|
| I20060510000246 | ND | Practitioner - Nurse Practitioner | 6305860206 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wishek Hospital-Clinic Association | Current | Accepting new patients | |
| Wishek Hospital-Clinic Association | Current |
Accepting new patients | |
| Wishek Hospital-Clinic Association | Current |
Accepting new patients | |
| Wishek Hospital-Clinic Association | Past | Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
Interoperability endpoints
- pbenson@whc.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0005 | ND | |
| Family Nurse Practitioner | 363LF0000X | R19454 | ND | Yes |
Addresses
Primary practice location
1007 4TH Ave S
Wishek, ND 58495-7527
Mailing address
1007 4TH Ave S
PO Box 647
Wishek, ND 58495-7527
Phone (701) 452-2364
Other providers in Wishek, ND
- Carla Jeanne Aipperspach
- Dan Lee Beach
- Rebecca Mae Bender
- Arin Elizabeth Bullinger
- Kristen Burgad Heidrich
- Cristopher Turman P.C.
- Madison Deile
- Bonnie Dewald
All providers in Wishek, 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 Oct 6, 2022. 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.