Individual provider Active NPI

Madison Marie Benjert

  • Family Nurse Practitioner
  • Grandview, WA
National Provider Identifier
1821892449
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70007897 Issued in WA
Practice address
1003 Wallace Way
Grandview, WA 98930-8805
Phone
(509) 203-1080
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60808390 WA
Family Nurse Practitioner 363LF0000X AP70007897 WA Primary

Addresses

Primary practice location

1003 Wallace Way
Grandview, WA 98930-8805

Mailing address

178501 Evans Rd
Grandview, WA 98930-9022

Other practice location 1

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 786-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260209001444 WA Practitioner - Nurse Practitioner 9335628528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prosser Public Hospital District of Benton CountyGroup PAC ID 6709787872, 111 clinicians

Practice addresses (Care Compare)

1003 Wallace Way
Grandview, WA 98930-8805
Phone (509) 203-1080

Hospital & facility affiliations

  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60808390WAMDRegistered Nurse
AP70007897WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Dec 10, 2025 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 1, 2025 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 1, 2025 Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients

Locations

701 Dale Ave
Ste A
Benton City, WA 99320
Phone (509) 588-4075

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

1003 Wallace Way
Grandview, WA 98930
Phone (509) 203-1080

336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

336 Chardonnay Ave
#B
Prosser, WA 99350
Phone (509) 786-0031

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 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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1821892449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178501 EVANS RD",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989309022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WALLACE WAY",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989308805",
            "telephone_number": "509-203-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Prosser Health Dr",
            "address_purpose": "LOCATION",
            "city": "Prosser",
            "state": "WA",
            "postal_code": "993507832",
            "country_code": "US",
            "telephone_number": "509-786-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJERT",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60808390",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70007897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, WA

Sources for this page

Verify at the official NPI Registry.