CARLY BENCH
NPI 1205220357
Nurse Practitioner - Family in Salt Lake City, UT
About Carly Bench NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY BENCH (NPI 1205220357) is an individual family provider in Salt Lake City, Utah, licensed in Utah (8581404-4405) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Bench is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Carly Bench's NPI number?
The NPI number for Carly Bench is 1205220357. It was assigned to this individual provider in the NPPES registry on March 26, 2015.
Where is Carly Bench located?
Carly Bench practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.
What is Carly Bench's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carly Bench enrolled in Medicare?
Yes. Carly Bench is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carly Bench was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Carly Bench · NPI 1205220357
Family physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 26, 2015.
## Identity
- **NPI:** 1205220357 (Entity type: Individual)
- **Enumerated:** March 26, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8581404-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113-1103
- **Phone:** (801) 662-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 22, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1205220357) · Data from the CMS NPPES public registry.