KATHLEEN MARIE BENSON DNP, CPNP
NPI 1376096115
Nurse Practitioner - Pediatrics in Addison, IL

Active since July 28, 2016PECOS Enrolled
721 W LAKE ST, ADDISON, IL 60101(630) 757-4010 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2019, Feb 5, 2019, Apr 11, 2018 (3 updates tracked since 2018).

About Kathleen Marie Benson Dnp, Cpnp NPPES

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

KATHLEEN MARIE BENSON DNP, CPNP (NPI 1376096115) is an individual pediatrics provider in Addison, Illinois, licensed in Illinois (209014385) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wheaton.

NPPES Registry Identity

NPI1376096115
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN MARIE BENSONCredential: DNP, CPNP
Location Address721 W LAKE STAddison, IL 60101-2035
Mailing Address1s561 Cotuit CtGlen Ellyn, IL 60137-6410 · (312) 914-2718
Sole ProprietorNo
Enumeration DateJuly 28, 2016
Last NPPES UpdateNovember 20, 20193 updates tracked since enumeration
✔ NPI 1376096115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209014385
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209014385 (IL)
721 W LAKE ST, Addison, IL 60101

Secondary Practice Location 1

Location 1290 W Loop RdWheaton, IL 60189-2034 · Phone (630) 868-3621

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Marie Benson Dnp, Cpnp 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 Billing Reassignment

Medicare enrollment records show Kathleen Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
2211 N OAK PARK AVE
Chicago, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60101 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

Community/Behavioral Health
721 W LAKE ST, SUITE 100
ADDISON, IL 60101
Chiropractor
721 W LAKE ST, SUITE 201
ADDISON, IL 60101
Physical Therapist
721 W LAKE ST, SUITE 110
ADDISON, IL 60101
Nurse Practitioner (Pediatrics)
721 W LAKE ST, SUITE 202
ADDISON, IL 60101
Counselor (Mental Health)
721 W LAKE ST
ADDISON, IL 60101
Clinic/Center (Primary Care)
721 W LAKE ST, SUITE 202
ADDISON, IL 60101
Counselor (Professional)
721 W LAKE ST, SUITE 100
ADDISON, IL 60101

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 Kathleen Benson's NPI number?

The NPI number for Kathleen Benson is 1376096115. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Kathleen Benson located?

Kathleen Benson practices at 721 W Lake St, Addison, IL 60101. The listed phone number is (630) 757-4010.

What is Kathleen Benson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathleen Benson enrolled in Medicare?

Yes. Kathleen Benson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Benson reassigns Medicare benefits to Shriners Hospitals For Children (Chicago, IL). The 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 Kathleen Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Benson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and AmeriHealth Caritas Next list Kathleen Benson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Benson was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.