MRS. KRISTEN HEATHER BENJAMIN APRN, BC
NPI 1205022001
Nurse Practitioner - Family in Augusta, GA

Active since September 15, 2007PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1120 15TH STREET, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2024, Aug 11, 2017, May 10, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Kristen Heather Benjamin Aprn, Bc NPPES

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

MRS. KRISTEN HEATHER BENJAMIN APRN, BC (NPI 1205022001) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN167843) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205022001
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KRISTEN HEATHER BENJAMINCredential: APRN, BC
Location Address1120 15TH STREETAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2603 · (706) 828-8401 · Fax (706) 722-7235
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateSeptember 15, 2007
Last NPPES UpdateApril 29, 20244 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1205022001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN167843
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN167843 (GA)
1120 15TH STREET, Augusta, GA 30912

Other Names 1

Former Name (1)Kristen Heather Sterling Aprn, Bc

Secondary Practice Locations 3

Location 14244 Washington RdEvans, GA 30809-3087 · Phone (706) 721-8623 · Fax (706) 721-1459
Location 21499 Walton Way Ste 1400Augusta, GA 30901-2603 · Phone (706) 828-8401 · Fax (706) 722-7235
Location 34300 University PkwyEvans, GA 30809-3063 · Phone (706) 854-3000 · Fax (706) 854-3189

Other Identifiers 1

MedicaidNP1454SC

Accepted 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

Mrs. Kristen Heather Benjamin Aprn, 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 ID3678626249
PECOS Enrollment IDI20090729000425
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

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.

Internal Medicine (Cardiovascular Disease)
1120 15TH STREET
AUGUSTA, GA 30912
Pathology (Anatomic Pathology)
1120 15TH STREET
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH STREET
AUGUSTA, GA 30912
Anesthesiology
1120 15TH STREET
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH STREET
AUGUSTA, GA 30912
Physician Assistant
1120 15TH STREET
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH STREET
AUGUSTA, GA 30912
Family Medicine
1120 15TH STREET
AUGUSTA, GA 30912

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 Kristen Benjamin's NPI number?

The NPI number for Kristen Benjamin is 1205022001. It was assigned to this individual provider in the NPPES registry on September 15, 2007. The provider is also known as Kristen Heather Sterling Aprn, Bc.

Where is Kristen Benjamin located?

Kristen Benjamin practices at 1120 15th Street, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Kristen Benjamin's specialty?

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

Is Kristen Benjamin enrolled in Medicare?

Yes. Kristen Benjamin 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.

What insurance does Kristen Benjamin accept?

Health plans from Alliant Health Plans, Inc., Molina Healthcare and UnitedHealthcare list Kristen Benjamin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristen Benjamin affiliated with any hospitals?

According to CMS data, Kristen Benjamin is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Benjamin was last updated on April 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.