Cheryl Lee Benson, P.A. - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000874 Issued in IA

Practice address

2525 24TH Street
Suite 101
Rock Island, IL 61201

Phone

(309) 788-7522

Fax

(309) 788-7562

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

No

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 IA

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

Physician Assistant

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: cheryl.benson.1@25062.direct.athenahealth.com
• Direct secure messaging: cbenson34942@direct.kelsey-seybold.com

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.

• Provident Emergency Medicine Associates, PC

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1750310645
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1295797884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 24TH ST STE 101",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015395",
            "telephone_number": "309-788-7522",
            "fax_number": "309-788-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 24TH STREET",
            "address_2": "SUITE 101",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-788-7522",
            "fax_number": "309-788-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CHERYL",
        "middle_name": "LEE",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Beam
• Michelle Lynn Beesley
• Samantha Behr, OTR/L
• Courtney Nicole Bellinger
• Katie Louise Benedict
• Eryka Berglund
• Elena Evgenievna Bethel, APN
• Adriana Beverly, RN
• Chad Thomas Bishop
• Kelsie Blaesing

• Physician Assistant in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.