KELLEY NICOLE BENCK
NPI 1346090982
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 26, 2024PECOS Enrolled
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90089(323) 442-9064 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Nicole Benck NPPES

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

KELLEY NICOLE BENCK (NPI 1346090982) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346090982
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLEY NICOLE BENCK
Location Address1200 N STATE ST, CT-A7DLos Angeles, CA 90089-1001
Mailing Address1200 N State StLos Angeles, CA 90089-1001 · (323) 442-9064
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 18, 2024
NPI 1346090982 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.
1200 N STATE ST, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelley Nicole Benck 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.

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089

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 Kelley Benck's NPI number?

The NPI number for Kelley Benck is 1346090982. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Kelley Benck located?

Kelley Benck practices at 1200 N State St Ct-A7d, Los Angeles, CA 90089. The listed phone number is (323) 442-9064.

What is Kelley Benck's specialty?

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

Is Kelley Benck enrolled in Medicare?

Yes. Kelley Benck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Benck was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.