Individual provider Active NPI

Kristina Lynn Benford, NP-C

  • Family Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1376998682
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704251527 Issued in MI
Practice address
14555 Levan Rd
Suite 113
Livonia, MI 48154-5083
Phone
(734) 655-8817
Fax
(734) 655-8820
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704251527 MI Primary

Addresses

Primary practice location

14555 Levan Rd
Suite 113
Livonia, MI 48154-5083

Mailing address

14555 Levan Rd
Suite 310
Livonia, MI 48154-5083
Phone (734) 655-2989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20161101002289 MI Practitioner - Nurse Practitioner 7416235049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

14555 Levan Rd
Livonia, MI 48154-5041

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5303 Elliott Dr
Suite 202
Ypsilanti, MI 48197-8632
Phone (734) 712-2005

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704251527MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation CurrentSince May 1, 2024 Accepting new patients
Uptiv Health Mi PC Family CurrentSince Aug 29, 2023 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 22, 2021 Accepting new patients
Uptiv Health Mi PC CurrentSince Aug 29, 2023 Accepting new patients
Iha Health Service Corporation CurrentSince May 1, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Corporation Past Accepting new patients

Locations

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

14555 Levan Rd
Ste 310
Livonia, MI 48154
Phone (734) 591-1171

14555 Levan Rd
Ste 113
Livonia, MI 48154
Phone (734) 655-8817

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

283 E Big Beaver Rd
Troy, MI 48083
Phone (248) 509-0756

36585 Warren Rd
Westland, MI 48185
Phone (615) 430-7119

5543 Edmonson Pike
Nashville, TN 37211
Phone (479) 601-7700

Interoperability endpoints

  • Direct secure messaging: kbenford46441@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1376998682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-655-2989",
            "fax_number": "734-655-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 113",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-655-8817",
            "fax_number": "734-655-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENFORD",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704251527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.