Individual provider Active NPI

Stephanie Michelle Benson, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1932383775
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V4642 Issued in TX
Practice address
9849 Kenworthy St
El Paso, TX 79924-4402
Phone
(921) 215-5500
Fax
(915) 215-8655
NPI assigned
Dec 27, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2007-0508 NM
Family Medicine Physician 207Q00000X 22450 WV
Family Medicine Physician 207Q00000X V4642 TX Primary

Addresses

Primary practice location

9849 Kenworthy St
El Paso, TX 79924-4402

Mailing address

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 598-4000

Other practice location 1

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 285-1733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WV, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090924000361 NM Practitioner - Family Practice 7911053475 Reassigns benefits to 2 organizations
I20220826003128 WV Practitioner - Family Practice 7911053475
I20241216002464 TX Practitioner - Family Practice 7911053475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians
PHC-Las Cruces IncGroup PAC ID 4486635802, 22 clinicians

Practice addresses (Care Compare)

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 522-8641

9849 Kenworthy St
El Paso, TX 79924-4402
Phone (915) 215-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V4642TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
PHC-Las Cruces Inc Family Medicine CurrentSince Aug 10, 2009 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
PHC Las Cruces Inc CurrentSince Aug 10, 2009 Accepting new patients
Northwest Hospital Medicine Physicians LLC CurrentSince Jan 1, 2025 Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients

Locations

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2450 S Telshor Blvd
Ste E
Las Cruces, NM 88011
Phone (575) 556-5800

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

9849 Kenworthy St
El Paso, TX 79924
Phone (915) 215-5500

Interoperability endpoints

  • Direct secure messaging: sbenson338863@direct.wvuhsdirect.com
  • Direct secure messaging: stephanie.benson.1@19849.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1932383775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 UNIVERSITY TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012421",
            "telephone_number": "304-598-4000",
            "fax_number": "304-285-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244402",
            "telephone_number": "921-215-5500",
            "fax_number": "915-215-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 University Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265012421",
            "country_code": "US",
            "telephone_number": "304-285-1733",
            "fax_number": "304-285-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0508",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22450",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.