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KOURTNEY BENSON FNP-C
NPI 1265131031
Nurse Practitioner - Family in Lawrenceville, IL

Active since March 01, 2023PECOS EnrolledAccepts Medicare Assignment
102 TRIM MASTERS DRIVE, LAWRENCEVILLE, IL 62439(618) 943-7900(618) 943-7901 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Kourtney Benson Fnp-c NPPES

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

KOURTNEY BENSON FNP-C (NPI 1265131031) is an individual family provider in Lawrenceville, Illinois, licensed in Illinois (209.027097) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265131031
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKOURTNEY BENSONCredential: FNP-C
Location Address102 TRIM MASTERS DRIVELawrenceville, IL 62439
Mailing Address15930 Arizona RdLawrenceville, IL 62439-4700 · (618) 928-4531
Phone(618) 943-7900
Fax(618) 943-7901
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2023
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1265131031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209.027097✔ Licensed in IN · 71013626A
102 TRIM MASTERS DRIVE, Lawrenceville, IL 62439
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1520 S 7th StVincennes, IN 47591-1038 · Phone (812) 882-5220
Location 21698 S 100 WPrinceton, IN 47670-9351 · Phone (812) 253-7213

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kourtney Benson Fnp-c 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 ID5294272860
PECOS Enrollment IDI20240731002659
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 Reassignments

2

Medicare enrollment records show Kourtney Benson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Samaritan Hospital Physicians Services Inc
6.0 mi
Rural Health
528 N 1ST ST
Vincennes, IN 47591
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Good Samaritan Hospital Physician Services, Inc
  • 171 clinicians in this Medicare group
NPI 1043614498 (812) 882-4434
Midwest Emergency Medicine, Inc.
6.2 mi
Emergency Medical Services
520 S 7TH STREET, ER
Vincennes, IN 47591
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1801383278 (812) 885-3810

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

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Kourtney Benson's NPI number?

The NPI number for Kourtney Benson is 1265131031. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Kourtney Benson located?

Kourtney Benson practices at 102 Trim Masters Drive, Lawrenceville, IL 62439. The listed phone number is (618) 943-7900.

What is Kourtney Benson's specialty?

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

Is Kourtney Benson enrolled in Medicare?

Yes. Kourtney Benson 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.

Which organizations bill Medicare for Kourtney Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Benson reassigns Medicare benefits to 2 organizations: Good Samaritan Hospital Physicians Services Inc (Vincennes, IN) and Midwest Emergency Medicine, Inc. (Vincennes, IN). Each 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 Kourtney Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kourtney Benson was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.