Individual provider Active NPI

Dawn Leighann Benefiel, APRN

  • Acute Care Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1609392406
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3011758 Issued in KY
Practice address
1532 Lone Oak Rd Ste 310
Paducah, KY 42003-7942
Phone
(270) 538-6200
Fax
(270) 538-6220
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3011758 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd Ste 310
Paducah, KY 42003-7942

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102

Other practice location 1

1124 N 32nd St
Paducah, KY 42001
Phone (931) 289-8720

Other practice location 2

2603 Kentucky Ave Ste 102
Paducah, KY 42003-3815
Phone (270) 442-3539

Other names 1

  • Dawn Leighann Cobb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000168 KY Practitioner - Nurse Practitioner 8527302082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

1532 Lone Oak Rd
Suite 310
Paducah, KY 42003-7942
Phone (270) 538-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1532 Lone Oak Rd
Ste 310
Paducah, KY 42003
Phone (270) 443-0777

Interoperability endpoints

  • Direct secure messaging: dbenefiel384192@direct.bsmhealth.org

Organizations & group practices 2

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1609392406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 310",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037942",
            "telephone_number": "270-538-6200",
            "fax_number": "270-538-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 N 32nd St",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "42001",
            "country_code": "US",
            "telephone_number": "931-289-8720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Kentucky Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420033815",
            "country_code": "US",
            "telephone_number": "270-442-3539",
            "fax_number": "270-442-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEFIEL",
        "first_name": "DAWN",
        "middle_name": "LEIGHANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3011758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "COBB",
            "middle_name": "LEIGHANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.