Individual provider Active NPI

Lisa Marie Benton, ARNP

  • Family Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1487933545
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60230744 Issued in WA
Practice address
1020 S 40TH Ave Ste C
Yakima, WA 98908-3800
Phone
(509) 223-9112
NPI assigned
Aug 8, 2011
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22728 CA
Family Nurse Practitioner 363LF0000X 15974 TN
Family Nurse Practitioner 363LF0000X AP60230744 WA Primary

Addresses

Primary practice location

1020 S 40TH Ave Ste C
Yakima, WA 98908-3800

Mailing address

1020 S 40TH Ave Ste C
Yakima, WA 98908-3800
Phone (509) 223-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, VI, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120810000487 WA Practitioner - Nurse Practitioner 5799956744 Reassigns benefits to 3 organizations
I20231005001509 TX Practitioner - Nurse Practitioner 5799956744 Reassigns benefits to 1 organization
I20240312002141 VI Practitioner - Nurse Practitioner 5799956744 Reassigns benefits to 1 organization
I20251204004547 CA Practitioner - Nurse Practitioner 5799956744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

823 Gateway Ctr Way
San Diego, CA 92102-4541

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22728CAMDDentist
15974TNMDFamily Nurse Practitioner
AP60230744WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Snohomish County CurrentSince Jul 18, 2022 Accepting new patients
Plessen Medical Group, LLC CurrentSince Dec 27, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jan 5, 2026 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 11, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 11, 2023 Accepting new patients
Community Health Center of Snohomish County CurrentSince Jul 18, 2022 Accepting new patients
Plessen Medical Group, LLC Current Accepting new patients
Selah Medical Center Inc. CurrentSince Feb 1, 2025 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Jan 5, 2026 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

3004 Estate Orange Grv
Ste 2
Christiansted, VI 00820
Phone (253) 307-5651

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

9 E 1st Ave
Ste 4
Selah, WA 98942
Phone (509) 248-7849

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1487933545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 40TH AVE STE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083800",
            "telephone_number": "509-223-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 40TH AVE STE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083800",
            "telephone_number": "509-223-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60230744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.