Individual provider Active NPI

Kathryn Kelly Benson, FNP BC

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1720084213
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011542 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201806701NP-PP OR
Family Medicine Physician 207Q00000X APRN2467 SC
Nurse Practitioner 363L00000X L1-0067018 DE
Registered Nurse 163W00000X L1-0067018 DE
Family Nurse Practitioner 363LF0000X AP60763596 WA
Family Nurse Practitioner 363LF0000X RN2333723 MA
Family Nurse Practitioner 363LF0000X LG-0011542 DE Primary

Addresses

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

75 Mount Auburn St
Cambridge, MA 02138-4960

Other practice location 1

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 496-2979

Other identifiers 1

IdentifierTypeStateIssuer
NP0340MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CT, OR, DE, ME, MA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20171128001783 WA Practitioner - Nurse Practitioner 1850357104 Reassigns benefits to 2 organizations
I20191206002122 CT Practitioner - Nurse Practitioner 1850357104 Reassigns benefits to 2 organizations
I20200320001843 OR Practitioner - Nurse Practitioner 1850357104 Reassigns benefits to 2 organizations
I20210112000397 DE Practitioner - Nurse Practitioner 1850357104 Reassigns benefits to 1 organization
I20210503002172 ME Practitioner - Nurse Practitioner 1850357104 Reassigns benefits to 1 organization
I20230922003448 MA Practitioner - Nurse Practitioner 1850357104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

1400 NE Alberta St
Portland, OR 97211-5044
Phone (864) 664-3984

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 496-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201806701NP-PPORMDFamily Medicine Physician
APRN2467SCMDFamily Medicine Physician
2467SCMDOccupational Therapy Assistant
L1-0067018DEMDNurse Practitioner
AP60763596WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Sep 7, 2019 Accepting new patients
Northeast Medical Group, Inc. Nurse Practitioner CurrentSince Jun 20, 2022 Accepting new patients
Christiana Care Quality Partners CurrentSince Jan 7, 2021 Accepting new patients
Sunnyside Community Hospital Association Registered Nurse CurrentSince Oct 9, 2017 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
President & Fellows of Harvard College CurrentSince Sep 12, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Mar 22, 2021 Accepting new patients
Sunnyside Community Hospital Association Registered Nurse CurrentSince Oct 9, 2017 Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Jan 3, 2019 Accepting new patients
Healthreach Community Health Centers CurrentSince Mar 22, 2021 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Feb 25, 2025 Accepting new patients
President and Fellows of Harvard College CurrentSince Sep 12, 2023 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Zoomcare PC Past Accepting new patients
Columbia Lutheran Charities Family Medicine Past Accepting new patients
South Carolina Em-I Medical Services PC Nurse Practitioner Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations (25 of 36)

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

887 Bridgeport Ave
Shelton, CT 06484
Phone (203) 225-2060

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

10 Water St
Ste 305
Waterville, ME 04901
Phone (207) 872-5610

2695 SW Cedar Hills Blvd
Ste 180
Beaverton, OR 97005

11355 SW Scholls Ferry Rd
Beaverton, OR 97008

10221 SE Sunnyside Rd
Clackamas, OR 97015

2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671

17155 SE Sunnyside Rd
Ste 160
Happy Valley, OR 97015
Phone (503) 908-5634

2711 NE Town Center Dr
Ste 2
Hillsboro, OR 97006

111 A Ave
Lake Oswego, OR 97034

3060 SE Hawthorne Blvd
Portland, OR 97214

4427 NE Fremont St
Portland, OR 97213

202 NW 13th Ave
Portland, OR 97209
Phone (971) 998-1011

7855 SW Capitol Hwy
Portland, OR 97219

6910 SE Milwaukie Ave
Portland, OR 97202

1400 NE Alberta St
Portland, OR 97211

2400 E Burnside St
Portland, OR 97214
Phone (503) 608-3081

172 NE Martin Luther King Jr Blvd
Portland, OR 97232

1662 NW 23rd Ave
Portland, OR 97210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathryn.benson@xdr.hhchealthdirect.org

Organizations & group practices 19

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.

View all 19

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1720084213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Mount Auburn St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021384960",
            "country_code": "US",
            "telephone_number": "617-496-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "KATHRYN",
        "middle_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "201806701NP-PP",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "APRN2467",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L1-0067018",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0067018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60763596",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2333723",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0340",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.