Individual provider Active NPI

Michelle Chambliss Benrath, ANP

  • Adult Health Nurse Practitioner
  • Burlingame, CA
National Provider Identifier
1467730945
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95004549 Issued in CA
Practice address
329 Primrose Rd FL 2
Burlingame, CA 94010-4093
Phone
(415) 291-0480
Fax
(415) 252-7176
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 630519-1 NY
Adult Health Nurse Practitioner 363LA2200X F305978 NY
Adult Health Nurse Practitioner 363LA2200X 95004549 CA Primary

Addresses

Primary practice location

329 Primrose Rd FL 2
Burlingame, CA 94010-4093

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

501 2nd St Ste 415
San Francisco, CA 94107-4132
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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
I20150922000524 NY Practitioner - Nurse Practitioner 7719290782
I20170207003083 CA Practitioner - Nurse Practitioner 7719290782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

746 The Alameda
Suite 10
San Jose, CA 95126-3178
Phone (408) 228-1020

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
630519-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Oct 17, 2016 Accepting new patients
One Medical Group, Inc CurrentSince Oct 17, 2016 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

329 Primrose Rd
Fl 2ND
Burlingame, CA 94010

329 Primrose Rd
Fl 2
Burlingame, CA 94010
Phone (650) 288-1200

1955 Broadway
Ste A
Oakland, CA 94612

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

501 2nd St
Ste 415
San Francisco, CA 94107
Phone (415) 529-4567

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

746 The Alameda
Ste 10
San Jose, CA 95126
Phone (408) 228-1020

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

Organizations & group practices 4

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 2

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1467730945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 PRIMROSE RD FL 2",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104093",
            "telephone_number": "415-291-0480",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 2nd St Ste 415",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941074132",
            "country_code": "US",
            "telephone_number": "415-658-6791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENRATH",
        "first_name": "MICHELLE",
        "middle_name": "CHAMBLISS",
        "name_prefix": "Miss",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "630519-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305978",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95004549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.