Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TARA LEIGH BENSON APNP
NPI 1124868187
Nurse Practitioner - Family in Green Bay, WI

Q: What is Tara Benson's NPI number?

The NPI number for Tara Benson is 1124868187. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Q: What is Tara Benson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Benson was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2024PECOS EnrolledAccepts Medicare Assignment

1860 SHAWANO AVE, GREEN BAY, WI 54303(920) 429-1700(920) 429-1799 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2026, May 6, 2026 (2 updates tracked since 2026).

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About Tara Leigh Benson Apnp NPPES

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

TARA LEIGH BENSON APNP (NPI 1124868187) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (15391-33) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124868187

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA LEIGH BENSONCredential: APNP

Location Address1860 SHAWANO AVEGreen Bay, WI 54303-2667

Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700

Phone(920) 429-1700

Fax(920) 429-1799

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 28, 2024

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1124868187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 15391-33

1860 SHAWANO AVE, Green Bay, WI 54303

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Other Identifiers 1

Medicaid100304120WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

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

Tara Leigh Benson Apnp 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 ID4183164171

PECOS Enrollment IDI20240917001405

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

17 services11 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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.

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