NICOLE RENEE BENNINGTON-MCKAY MD
NPI 1316731359
Student in an Organized Health Care Education/Training Program in Roseville, CA

Active since April 07, 2025PECOS Enrolled
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1000 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Renee Bennington-mckay Md NPPES

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

NICOLE RENEE BENNINGTON-MCKAY MD (NPI 1316731359) is an individual student in an organized health care education/training program in Roseville, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316731359
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE RENEE BENNINGTON-MCKAYCredential: MD
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037 · (916) 781-1000
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
NPI 1316731359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL PLAZA DR, Roseville, CA 95661

Other Names 1

Former Name (1)Nicole Renee Bennington

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Renee Bennington-mckay Md 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.

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.

Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661

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 Nicole Bennington-mckay's NPI number?

The NPI number for Nicole Bennington-mckay is 1316731359. It was assigned to this individual provider in the NPPES registry on April 7, 2025. The provider is also known as Nicole Renee Bennington.

Where is Nicole Bennington-mckay located?

Nicole Bennington-mckay practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 781-1000.

What is Nicole Bennington-mckay's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Bennington-mckay enrolled in Medicare?

Yes. Nicole Bennington-mckay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Bennington-mckay was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.