Individual provider Active NPI

Benjamin Luke Kiser, ARNP

  • Family Nurse Practitioner
  • Jenkins, KY
National Provider Identifier
1417188285
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172025 Issued in VA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100100220MedicaidKY
1417188285MedicaidVA
1417188285MedicaidKY
P01574211OtherVARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkiser21801@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100327000118 KY Practitioner - Nurse Practitioner 4789710930 Reassigns benefits to 2 organizations
I20151028002238 VA Practitioner - Nurse Practitioner 4789710930 Reassigns benefits to 2 organizations

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
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

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

LicenseStateTypeSpecialty
47901KYMDFamily Nurse Practitioner
0024172025VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Pikeville Medical Center Inc. CurrentSince Jan 6, 2010 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2015 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2015 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

  • Direct secure messaging: benjamin.kiser.2@16475.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.