NICOLE BENNING AGACNP-BC
NPI 1164224861
Nurse Practitioner - Gerontology in Annapolis, MD

Active since March 25, 2025PECOS EnrolledAccepts Medicare Assignment
2000 MEDICAL PKWY STE 510, ANNAPOLIS, MD 21401(410) 897-0822 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Benning Agacnp-bc NPPES

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

NICOLE BENNING AGACNP-BC (NPI 1164224861) is an individual gerontology provider in Annapolis, Maryland, licensed in Maryland (R228496) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164224861
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE BENNINGCredential: AGACNP-BC
Location Address2000 MEDICAL PKWY STE 510Annapolis, MD 21401-3747
Mailing Address7 Sonora DrPasadena, MD 21122-5513 · (240) 222-2481
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1164224861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MD · R228496
2000 MEDICAL PKWY STE 510, Annapolis, MD 21401

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

Nicole Benning Agacnp-bc 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 ID5890290746
PECOS Enrollment IDI20250923002954
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 15

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

Nurse Practitioner
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Dietitian, Registered
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Nurse Practitioner (Adult Health)
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Internal Medicine
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Nurse Practitioner (Family)
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Nurse Practitioner (Family)
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401
Nurse Practitioner (Family)
2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD 21401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164224861, enumerated as an "individual" on March 25, 2025.

The provider is located at 2000 MEDICAL PKWY STE 510 ANNAPOLIS, MD 21401 and the phone number is (410) 897-0822.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.