Mark Benning, PA
Individual provider Active NPI Physician Assistant · Sanford, NC
NPI 1972069243 · NPPES record last updated Jan 14, 2020
Key facts
- NPI
- 1972069243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1135 Carthage St
Sanford, NC 27330-4162 - Phone
- (919) 774-2100
- NPI assigned
- Feb 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Emergency Physicians PA
Practice addresses (Care Compare)
10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 233-2300
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Hospital & facility affiliations
- Wakemed, Cary Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 75.66
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190620001108 | NC | Practitioner - Physician Assistant | 4486988714 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Emergency Physicians PA | Current |
Accepting new patients | |
| Wake Emergency Physicians PA | Current |
Accepting new patients |
Locations
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- mbenning103377@capefearvalley.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1135 Carthage St
Sanford, NC 27330-4162
Mailing address
1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2261
Other practice location 1
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-2000
Other providers in Sanford, NC
- Schuyler Karl Behnke
- Benchmark Physical Therapy of NC, LLC
- Lynette Benge
- Benhaven Emergency Services Inc.
- Holly Nicole Bennett
- Brian K Bergey
- Theresa G Berthelette
- Nilesh Bhargav
- Krishna Prasad Bhat
- Bethany Frye Bibey
All providers in Sanford, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.