Active NPI
Benjamin Luke Kiser, ARNP
- Family Nurse Practitioner
- Jenkins, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024172025
- Practice address
- 214 Highway 3086
Jenkins, KY 41537-9204 - Phone
- (606) 212-1131
- Fax
- (606) 212-1195
- NPI assigned
- Jul 28, 2009
- Last updated
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 47901 | KY | |
| Family Nurse Practitioner | 363LF0000X | 0024172025 | VA | Primary |
Addresses
Primary practice location
214 Highway 3086
Jenkins, KY 41537-9204
Mailing address
214 Highway 3086
Jenkins, KY 41537-9204
Phone (276) 212-1131
Other practice location 1
911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-3500
Other practice location 2
58 Carroll St
Room 2037
Lebanon, VA 24266
Phone (276) 883-8062
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100100220 | Medicaid | KY | |
| 1417188285 | Medicaid | VA | |
| 1417188285 | Medicaid | KY | |
| P01574211 | Other | VA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkiser21801@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213
214 Hwy 3086
Jenkins, KY 41537-9204
Phone (276) 220-2408
426 W Main St
Wise, VA 24293-6915
Phone (276) 321-7891
911 Bypass Rd
Pikeville, KY 41501-1689
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47901 | KY | MD | Family Nurse Practitioner |
| 0024172025 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Managment Corporation | Past | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
Interoperability endpoints
- benjamin.kiser.2@16475.direct.athenahealth.com
- bkiser21801@pikevillekydirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
dba Ballad Health Medical Associates
- Hospitalist Physician
- Marion, VA
- NPI 1639463490
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Lebanon, VA
- NPI 1073990248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1417188285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 HIGHWAY 3086",
"city": "JENKINS",
"state": "KY",
"postal_code": "415379204",
"telephone_number": "276-212-1131",
"fax_number": "276-212-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 HIGHWAY 3086",
"city": "JENKINS",
"state": "KY",
"postal_code": "415379204",
"telephone_number": "606-212-1131",
"fax_number": "606-212-1195"
}
],
"practiceLocations": [
{
"address_1": "911 Bypass Rd Bldg A",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415011689",
"country_code": "US",
"telephone_number": "606-430-3500",
"fax_number": "606-218-4697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58 Carroll St",
"address_2": "Room 2037",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "24266",
"country_code": "US",
"telephone_number": "276-883-8062",
"fax_number": "276-883-8064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISER",
"first_name": "BENJAMIN",
"middle_name": "LUKE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2022-09-23",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "47901",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100100220",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417188285",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417188285",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01574211",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkiser21801@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jenkins, KY
- Kassi Jessee, PHARMD
- Andrea Joellen Johnson I, PTA
- Kentucky River District Health Department (Jenkins Board of Education)
- Kentucky River District Health Department (Jenkins Middle High School)
- Kentucky River District Health Department (Jenkins Headstart)
- Kolesnikov Pediatrics PLLC
- Letcher County Golden Years Rest Home
- Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Dorton)
- Mountain Comprehensive Health Corporation
- Melena Outlaw, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.