Individual provider Active NPI

Karin Benner, FNP-C

  • Family Nurse Practitioner
  • Medina, OH
National Provider Identifier
1417412602
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024619 Issued in OH
Practice address
784 Medina Rd Ste 104
Medina, OH 44256-9634
Phone
(330) 661-4008
Fax
(330) 661-4049
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 APRN.CNP.024619 OH Primary
Registered Nurse 163W00000X RN.304080 OH

Addresses

Primary practice location

784 Medina Rd Ste 104
Medina, OH 44256-9634

Mailing address

784 Medina Rd Ste 104
Medina, OH 44256-9634
Phone (330) 661-4008

Other identifiers 1

IdentifierTypeStateIssuer
RN.304080OtherOHOHIO BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20190617002265 OH Practitioner - Nurse Practitioner 7911230321 Reassigns benefits to 2 organizations
I20200724002582 KY Practitioner - Nurse Practitioner 7911230321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

791 White Pond Dr
Akron, OH 44320-1136
Phone (330) 805-8939

8037 Dixie Hwy
Louisville, KY 40258-1344
Phone (800) 424-6589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.304080OHMDRegistered Nurse
APRN.CNP.024619OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Wound Solutions, LLC CurrentSince Jul 6, 2026 Accepting new patients
Mvhe Inc CurrentSince Jun 25, 2019 Accepting new patients
Villagehealth DM LLC CurrentSince Dec 12, 2021 Accepting new patients
Mvhe Inc CurrentSince Jun 25, 2019 Accepting new patients
Summit Medical Group, PLLC PastSince Jun 22, 2020 Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

8037 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-9111

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

784 Medina Rd
Ste 104
Medina, OH 44256
Phone (330) 591-9635

74 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-7291

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1417412602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 104",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-661-4008",
            "fax_number": "330-661-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 104",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-661-4008",
            "fax_number": "330-661-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "KARIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024619",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.304080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN.304080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.