Active NPI
Chad Benninghoff, NP
- Family Nurse Practitioner
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7707
- Practice address
- 1301 Wonder World Dr
San Marcos, TX 78666-7533 - Phone
- (512) 353-8979
- NPI assigned
- Aug 31, 2012
- Last updated
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | AP7707 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP7707 | AZ | Primary |
Addresses
Primary practice location
1301 Wonder World Dr
San Marcos, TX 78666-7533
Mailing address
160 Raintree Dr
Kyle, TX 78640-5837
Phone (512) 203-0413
Other practice location 1
9321 W Thomas Rd Ste 205
Phoenix, AZ 85037-3392
Phone (866) 974-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, AZ, CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 E 2ND St
Dumas, TX 79029-3808
Phone (806) 934-7813
501 N Navajo Dr
Page, AZ 86040-1447
Phone (520) 645-2424
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200
7400 Menaul Blvd NE
Albuquerque, NM 87110-3636
Phone (505) 596-2400
9321 W Thomas Rd
Suite 205
Phoenix, AZ 85037-3392
Phone (866) 974-2673
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations (25 of 32)
2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443
2400 W Datsi St
Camp Verde, AZ 86322
Phone (928) 567-2168
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
18444 N 25th Ave
Ste 220
Phoenix, AZ 85023
Phone (669) 742-6738
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037
4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800
10484 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (669) 742-6738
10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
935 Shotwell Rd
Ste 108
Clayton, NC 27520
Phone (919) 359-2667
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777
7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
Interoperability endpoints
- cbenninghoff6838@ahs.direct-ci.com
- chad.benninghoff.1@6965.direct.athenahealth.com
Organizations & group practices 28
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.
-
dba Memorial Hospital
- Critical Access Hospital
- Dumas, TX
- NPI 1700991700
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
Nurse Practitioner
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
Nurse Practitioner
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- Critical Access Hospital
- Dumas, TX
- NPI 1700991700
-
dba Exceptional Community Hospital Bullhead City
- Special Hospital
- Bullhead City, AZ
- NPI 1750092110
-
dba Exceptional Community Hospital Maricopa
- Special Hospital
- Maricopa, AZ
- NPI 1518539048
-
- Critical Access Hospital
- Page, AZ
- NPI 1578515789
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1912256256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 RAINTREE DR",
"city": "KYLE",
"state": "TX",
"postal_code": "786405837",
"telephone_number": "512-203-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WONDER WORLD DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667533",
"telephone_number": "512-353-8979"
}
],
"practiceLocations": [
{
"address_1": "9321 W Thomas Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373392",
"country_code": "US",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNINGHOFF",
"first_name": "CHAD",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "AZ",
"license": "AP7707",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.