MRS. HEATHER MARIA BENHAM DNP, RN, CPNP
NPI 1255604922
Nurse Practitioner - Pediatrics in Dallas, TX
NPI Status: Active since February 10, 2012
Contact Information
2222 WELBORN ST
DALLAS, TX
ZIP 75219
Phone: (214) 559-5000
Fax: (214) 443-7309
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About HEATHER BENHAM
This page provides the complete NPI Profile along with additional information for Heather Benham, a provider established in Dallas, Texas with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1255604922 assigned on February 2012. The practitioner's primary taxonomy code is 363LP0200X with license number 687733 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1255604922
- Provider Name
- MRS. HEATHER MARIA BENHAM DNP, RN, CPNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2222 WELBORN ST DALLAS, TX 75219
- Location Phone
- (214) 559-5000
- Location Fax
- (214) 443-7309
- Mailing Address
- 2222 WELBORN ST DALLAS, TX 75219
- Mailing Phone
- (214) 559-5000
- Mailing Fax
- (214) 443-7309
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-10-2012
- Last Update Date
- 09-17-2015
- Code Navigator
A nurse practitioner (NP) like Heather Benham is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 687733
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Heather Benham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75219 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.19
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $22.04
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.8
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $25.2
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MRS. HEATHER MARIA BENHAM DNP, RN, CPNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 6 | 0 | 4 | 9 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 0 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 0 + 8 + 9 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1255604922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DANA R. DEMPSEY CTRS
Recreation Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
DR. PETER R CARTER M.D.
Orthopaedic Surgery
(Hand Surgery)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
REBECCA HOLM PAC
Physician Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
DR. STEVEN P. SPARAGANA M.D.
Psychiatry & Neurology
(Neurology with Special Qualifications in Child Neurology)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
KIMBERLY ANN KAIPUS MSPT, PCS
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
DR. NEIL SARAN MD
Orthopaedic Surgery
(Pediatric Orthopaedic Surgery)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. JENNIFER LOUISE ROYO PA-C
Physician Assistant
(Medical)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
CYNTHIA LUTER PA-C
Physician Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. TARA SOLOMON PA-C
Physician Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MS. MARGENE COOK OTR, ATP
Occupational Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MS. SUSAN RUTH LEIBOLD RN, MSSN, CNS-P
Clinical Nurse Specialist
(Pediatrics)
2222 WELBORN ST
4TH FLOOR
DALLAS, TX
ZIP 75219
CAROL ANN CHAMBERS PT
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. BRENDA MICHELLE HOUSE PT, MSPT, CCCE
Physical Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
LISA RENEE KING PT, DPT
Physical Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. TAMARA NORTON PT, MSPT, PCS, ATP
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
REBECCA K BERNHARDT P.T.
Physical Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
GWENN CAROL GUTHRIE PT
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
ROSA H COOKSEY
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
AMY LAKE
Occupational Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MR. JOHN JAY WILSON C.O.T.A./L.
Occupational Therapy Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255604922, enumerated as an "individual" on February 10, 2012.
The provider is located at 2222 WELBORN ST DALLAS, TX 75219 and the phone number is (214) 559-5000.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
