KIMBERLY CHRISTINE BENSON PA
NPI 1336474402
Physician Assistant - Medical in Ponchatoula, LA

Active since October 07, 2009PECOS Enrolled
80.17/100
CMS Quality Rating
180 N 5TH ST, PONCHATOULA, LA 70454(985) 370-7546(985) 370-7765 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Christine Benson Pa NPPES

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

KIMBERLY CHRISTINE BENSON PA (NPI 1336474402) is an individual medical provider in Ponchatoula, Louisiana, licensed in Louisiana (PA.200302) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336474402
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY CHRISTINE BENSONCredential: PA
Location Address180 N 5TH STPonchatoula, LA 70454-2532
Mailing Address180 N 5th StPonchatoula, LA 70454-2532 · (985) 370-7546 · Fax (985) 370-7765
Fax(985) 370-7765
Sole ProprietorNo
Enumeration DateOctober 7, 2009
Last NPPES UpdateAugust 28, 2013
NPI 1336474402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in LA · PA.200302
180 N 5TH ST, Ponchatoula, LA 70454

Other Identifiers 4

Medicaid1807311LA
Medicare PIN5DE56PC40LA
Medicare PIN5C822PC58LA
Medicare PIN5DL13PC74LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Christine Benson Pa 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
180 N 5TH ST
PONCHATOULA, LA 70454
Dermatology
180 N 5TH ST
PONCHATOULA, LA 70454
Nurse Practitioner
180 N 5TH ST
PONCHATOULA, LA 70454
Nurse Practitioner (Family)
180 N 5TH ST
PONCHATOULA, LA 70454
Dermatology
180 N 5TH ST
PONCHATOULA, LA 70454
Dermatology
180 N 5TH ST
PONCHATOULA, LA 70454
Nurse Practitioner (Family)
180 N 5TH ST
PONCHATOULA, LA 70454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336474402, enumerated as an "individual" on October 07, 2009.

The provider is located at 180 N 5TH ST PONCHATOULA, LA 70454 and the phone number is (985) 370-7546.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.