MRS. HEATHER MARIA BENHAM DNP, RN, CPNP
NPI 1255604922
Nurse Practitioner - Pediatrics in Dallas, TX

Active since February 10, 2012PECOS Enrolled
2222 WELBORN ST, DALLAS, TX 75219(214) 559-5000(214) 443-7309 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Heather Maria Benham Dnp, Rn, Cpnp NPPES

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

MRS. HEATHER MARIA BENHAM DNP, RN, CPNP (NPI 1255604922) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (687733) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255604922
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. HEATHER MARIA BENHAMCredential: DNP, RN, CPNP
Location Address2222 WELBORN STDallas, TX 75219-3924
Mailing Address2222 Welborn StDallas, TX 75219-3924 · (214) 559-5000 · Fax (214) 443-7309
Fax(214) 443-7309
Sole ProprietorYes
Enumeration DateFebruary 10, 2012
Last NPPES UpdateSeptember 17, 2015
✔ NPI 1255604922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 687733
2222 WELBORN ST, Dallas, TX 75219

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Heather Maria Benham Dnp, Rn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Benham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Orthopaedic Surgery
2222 WELBORN ST
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75219 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Speech-Language Pathologist
2222 WELBORN ST
DALLAS, TX 75219
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist
2222 WELBORN ST
DALLAS, TX 75219
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2222 WELBORN ST
DALLAS, TX 75219
Orthotist
2222 WELBORN ST
DALLAS, TX 75219
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Psychologist (Clinical Child & Adolescent)
2222 WELBORN ST
DALLAS, TX 75219
Orthopaedic Surgery
2222 WELBORN ST
DALLAS, TX 75219

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 Heather Benham's NPI number?

The NPI number for Heather Benham is 1255604922. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Heather Benham located?

Heather Benham practices at 2222 Welborn St, Dallas, TX 75219. The listed phone number is (214) 559-5000.

What is Heather Benham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Heather Benham enrolled in Medicare?

Yes. Heather Benham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Benham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Benham reassigns Medicare benefits to Texas Scottish Rite Hospital For Crippled Children (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Benham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Benham accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Heather Benham 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.

When was this NPI record last updated?

The NPPES record for Heather Benham was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.