Active NPI
Laureen Eick-Benson, MSN
- Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LB-0000215
- Practice address
- 4923 Ogletown-Stanton Road
Suite 200
Newark, DE 19713-2081 - Phone
- (302) 225-0451
- Fax
- (302) 255-0472
- NPI assigned
- Dec 6, 2007
- Last updated
- May 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LB-0000215 | DE | Primary |
| Nurse Practitioner | 363L00000X | AC-000070 | MD |
Addresses
Primary practice location
4923 Ogletown-Stanton Road
Suite 200
Newark, DE 19713-2081
Mailing address
4923 Ogletown-Stanton Road
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871776393 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 N Clayton St
Suite 401
Wilmington, DE 19805-3165
Phone (302) 421-9411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC-000070 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates PA | Current | Accepting new patients |
Locations
4923 Ogletown Stanton Rd
Ste 200
Newark, DE 19713
Phone (302) 225-0451
701 N Clayton St
Ste 401
Wilmington, DE 19805
Phone (302) 225-0451
137 W High St
Ste 1A
Elkton, MD 21921
Phone (410) 620-9200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1871776393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 OGLETOWN-STANTON ROAD",
"address_2": "SUITE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132081",
"telephone_number": "302-225-0451",
"fax_number": "302-255-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 OGLETOWN-STANTON ROAD",
"address_2": "SUITE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132081",
"telephone_number": "302-225-0451",
"fax_number": "302-255-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICK-BENSON",
"first_name": "LAUREEN",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LB-0000215",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "AC-000070",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871776393",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.