Individual provider Active NPI

Lucy Mae Benner, PA-C

  • Medical Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1619584224
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15351 Issued in TX
Practice address
5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417
Phone
(361) 854-0811
Fax
(361) 806-5040
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA9113590 FL
Surgical Physician Assistant 363AS0400X PA15351 TX
Medical Physician Assistant 363AM0700X PA15351 TX Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA9113590 FL

Addresses

Primary practice location

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417

Mailing address

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417
Phone (361) 854-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220318000600 TX Practitioner - Physician Assistant 7618396359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

5917 Crosstown Epwy
SH 286
Corpus Christi, TX 78417-3504
Phone 3618541454113

5917 Crosstown Epwy SH
Suite 286
Corpus Christi, TX 78417-3504

5917 Crosstown Expy
Corpus Christi, TX 78417-3504

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.43 of 100Reported as group
Quality
76.55
Promoting interoperability
96
Improvement activities
40
Cost
58.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15351TXMDMedical Physician Assistant
PA9113590FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Corpus Christi CurrentSince Mar 3, 2022 Accepting new patients
Orthopedic Associates of Corpus Christi Single Specialty CurrentSince Mar 3, 2022 Accepting new patients

Locations

7121 S Padre Island Dr
Ste 306
Corpus Christi, TX 78412

5917 Crosstown Expy
Corpus Christi, TX 78417
Phone 3618540811113

5917 Crosstown Expy
Ste 286
Corpus Christi, TX 78417

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

601 Texan Trl
Ste 300
Corpus Christi, TX 78411
Phone (361) 887-2900

Interoperability endpoints

  • Direct secure messaging: lucy.harris.1@15288.direct.athenahealth.com

Organizations & group practices 3

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 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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1619584224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 CROSSTOWN EXPRESSWAY SH 286",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 CROSSTOWN EXPRESSWAY SH 286",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "LUCY",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9113590",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15351",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15351",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.