Individual provider Active NPI

Kimberly Dawn Benton, CRNP

  • Maternal Newborn Registered Nurse
  • Lancaster, PA
National Provider Identifier
1669469599
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
TP006354B Issued in PA
Practice address
May-Grant Associates
694 Good Dr.
Lancaster, PA 17601
Phone
(717) 397-8177
NPI assigned
Oct 5, 2005
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X TP006354B PA Primary

Addresses

Primary practice location

May-Grant Associates
694 Good Dr.
Lancaster, PA 17601

Mailing address

900 Center St
Mount Joy, PA 17552-9371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060210000087 PA Practitioner - Nurse Practitioner 6800801986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

694 Good Dr
Suite 112
Lancaster, PA 17601-2433
Phone (717) 397-8177

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP006354BPAMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Susquehanna Valley Women's Health Care PC CurrentSince Nov 15, 2010 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Susquehanna Valley Women's Health Care, PC CurrentSince Nov 15, 2010 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

420 Cloverleaf Rd
Elizabethtown, PA 17022

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

694 Good Dr
Lancaster, PA 17601
Phone 71739781771890

694 Good Dr
#112
Lancaster, PA 17601
Phone 71739781771890

792 Lititz Pike
Lititz, PA 17543

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

Interoperability endpoints

  • Direct secure messaging: kbentoncrnp20057@direct-lghealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1669469599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CENTER ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAY-GRANT ASSOCIATES",
            "address_2": "694 GOOD DR.",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-397-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "PA",
            "license": "TP006354B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.