Individual provider Active NPI

Timetrice Anisha Benson, FNP-BC

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1780329813
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704287834 Issued in MI
Practice address
5103 W Pierson Rd
Flint, MI 48504-1301
Phone
(810) 212-0605
Fax
(810) 488-7464
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704287834 MI Primary

Addresses

Primary practice location

5103 W Pierson Rd
Flint, MI 48504-1301

Mailing address

5103 W Pierson Rd
Flint, MI 48504-1301
Phone (810) 212-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002460 MI Practitioner - Nurse Practitioner 0345619961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2700 Robert T Longway Blvd
Suite B
Flint, MI 48503-2190

2700 Robert T Longway Blvd B
Flint, MI 48503-2190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704287834MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Coverage Services PC CurrentSince Oct 1, 2022 Accepting new patients
Wellness HIV AIDS Services, Inc. Past Accepting new patients
Physician Coverage Services Past Accepting new patients

Locations

1125 S Linden Rd
Ste 900
Flint, MI 48532
Phone (810) 733-5390

2700 Robert T Longway Blvd
Ste 900
Flint, MI 48503

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGAIDD/Endpoint/CGAIDD
  • Direct secure messaging: tbenson6144@direct.hurleymc.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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1780329813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041301",
            "telephone_number": "810-212-0605",
            "fax_number": "810-488-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041301",
            "telephone_number": "810-212-0605",
            "fax_number": "810-488-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "TIMETRICE",
        "middle_name": "ANISHA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704287834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.