Individual provider Active NPI

Stephanie Amber Benton, ANP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1790193340
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125308 Issued in TX
Practice address
11212 State Highway 151
BLDG 2 , Suite 200
San Antonio, TX 78251-4498
Phone
(210) 681-5747
Fax
(210) 681-7515
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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 AP125308 TX Primary

Addresses

Primary practice location

11212 State Highway 151
BLDG 2 , Suite 200
San Antonio, TX 78251-4498

Mailing address

150 E Sonterra Blvd
Suite 220
San Antonio, TX 78258-4098
Phone (210) 481-6800

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
I20140814000193 TX Practitioner - Nurse Practitioner 7719104827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

18818 Meisner Dr
Suite 102
San Antonio, TX 78258-3569
Phone (210) 481-6800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

11212 State Highway 151
Ste 200
San Antonio, TX 78251
Phone (210) 520-7000

18818 Meisner Dr
Ste 102
San Antonio, TX 78258
Phone (210) 481-6800

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: stephanie.benton.1@1438.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1790193340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SONTERRA BLVD",
            "address_2": "SUITE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584098",
            "telephone_number": "210-481-6800",
            "fax_number": "210-481-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "BLDG 2 , SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-681-5747",
            "fax_number": "210-681-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "STEPHANIE",
        "middle_name": "AMBER",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.