MS. SHAY MALYNN BENNER CPNP-PC
NPI 1124609979
Nurse Practitioner - Pediatrics, Critical Care in Albuquerque, NM

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-5551(272) 684-5505 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2023, Apr 14, 2021 (2 updates tracked since 2021).

About Ms. Shay Malynn Benner Cpnp-pc NPPES

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

MS. SHAY MALYNN BENNER CPNP-PC (NPI 1124609979) is an individual pediatrics, critical care provider in Albuquerque, New Mexico, licensed in New Mexico (62095) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124609979
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMS. SHAY MALYNN BENNERCredential: CPNP-PC
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375 · (505) 272-5551 · Fax (505) 272-6845
Fax(272) 684-5505
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1124609979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License Licensed in NM · 62095
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Shay Malynn Benner Cpnp-pc 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 ID4688064728
PECOS Enrollment IDI20211206000558
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Shay Benner's NPI number?

The NPI number for Shay Benner is 1124609979. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Shay Benner located?

Shay Benner practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-5551.

What is Shay Benner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Shay Benner enrolled in Medicare?

Yes. Shay Benner 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.

Is Shay Benner affiliated with any hospitals?

According to CMS data, Shay Benner is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Shay Benner was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.