Individual provider Active NPI

Jason P Benton, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portersville, PA
National Provider Identifier
1316170509
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP010989 Issued in PA
Practice address
109 Adams LN
Portersville, PA 16051-2419
Phone
(724) 201-4808
Fax
(724) 220-4505
NPI assigned
Sep 3, 2009
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP010989 PA Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN618876 PA

Addresses

Primary practice location

109 Adams LN
Portersville, PA 16051-2419

Mailing address

109 Adams LN
Portersville, PA 16051-2419
Phone (724) 201-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110127000788 PA Practitioner - Nurse Practitioner 7315126943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Care Practitioners, LLC Psychiatric/Mental Health CurrentSince Jan 29, 2026 Accepting new patients

Locations

109 Adams Ln
Portersville, PA 16051
Phone (724) 201-4808

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1316170509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ADAMS LN",
            "city": "PORTERSVILLE",
            "state": "PA",
            "postal_code": "160512419",
            "telephone_number": "724-201-4808",
            "fax_number": "724-220-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ADAMS LN",
            "city": "PORTERSVILLE",
            "state": "PA",
            "postal_code": "160512419",
            "telephone_number": "724-201-4808",
            "fax_number": "724-220-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP010989",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN618876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portersville, PA

Sources for this page

Verify at the official NPI Registry.