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MARY TAYLOR BENSON
NPI 1043602147
Nurse Practitioner in Lakeport, CA

Active since February 26, 2015PECOS EnrolledAccepts Medicare Assignment
987 PARALLEL DR STE C, LAKEPORT, CA 95453(707) 262-5088 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2020, Jul 12, 2019 (2 updates tracked since 2019).

About Mary Taylor Benson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY TAYLOR BENSON (NPI 1043602147) is an individual nurse practitioner in Lakeport, California, licensed in Ohio (APRN.CNP.0041364) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043602147
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY TAYLOR BENSON
Location Address987 PARALLEL DR STE CLakeport, CA 95453-5708
Mailing Address1010 Mint Springs RdTerry, MS 39170-8778
Phone(707) 262-5088
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 26, 2015
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1043602147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0041364
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95010828 (CA), AP60909312 (WA), 8067 (CT)
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License R863948 (MS)
987 PARALLEL DR STE C, Lakeport, CA 95453
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Other Names 1

Former Name (1)Mary Taylor

Secondary Practice Locations 5

Location 11251 Lewis River Rd Ste DWoodland, WA 98674-9203 · Phone (360) 225-4310 · Fax (360) 225-4309
Location 28740 Orion Pl Ste 100Columbus, OH 43240-4063 · Phone (614) 300-5913
Location 385 Lafayette StNew Britain, CT 06051-1803 · Phone (860) 347-6971 · Fax (860) 638-6831
Location 4300 Nissan DrCanton, MS 39046-8562 · Phone (601) 855-8426
Location 55196 Hill Rd E Ste 300Lakeport, CA 95453-6374 · Phone (916) 263-6885

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Taylor Benson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022345065
PECOS Enrollment IDI20241126004033, I20260428000838
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Benson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Hospitals
4.9 mi
Rural Health
5176 HILL RD E
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 132 clinicians in this Medicare group
NPI 1770816829 (707) 262-5000
Ohio Center For Behavioral Health LLC
2,118 mi
Mental Health (Including Community Mental Health Center)
3000 CORPORATE EXCHANGE DR STE 110
Columbus, OH 43231
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1710785670 (614) 507-1460

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYLA FLAUM PA-C
Physician Assistant
987 PARALLEL DR STE C
LAKEPORT, CA 95453
Lake County (707) 262-5088
SHARIE JOHNSON
Nurse Practitioner
987 PARALLEL DR STE C
LAKEPORT, CA 95453
Lake County (707) 262-5000
DANIEL ALEKYAN DO
General Practice
987 PARALLEL DR STE C
LAKEPORT, CA 95453
Lake County (707) 262-5088
TIFFANI FAWN STRICKLAND MD
Family Medicine
987 PARALLEL DR STE C
LAKEPORT, CA 95453
Lake County (707) 262-5088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Benson's NPI number?

The NPI number for Mary Benson is 1043602147. It was assigned to this individual provider in the NPPES registry on February 26, 2015. The provider is also known as Mary Taylor.

Where is Mary Benson located?

Mary Benson practices at 987 Parallel Dr Ste C, Lakeport, CA 95453. The listed phone number is (707) 262-5088.

What is Mary Benson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Benson enrolled in Medicare?

Yes. Mary Benson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Benson reassigns Medicare benefits to 2 organizations: Sutter Bay Hospitals (Lakeport, CA) and Ohio Center For Behavioral Health LLC (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Benson was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.