DAWN LEIGHANN BENEFIEL APRN
NPI 1609392406
Nurse Practitioner - Acute Care in Paducah, KY

Q: What is Dawn Benefiel's NPI number?

The NPI number for Dawn Benefiel is 1609392406. It was assigned to this individual provider in the NPPES registry on August 14, 2017. The provider is also known as Dawn Leighann Cobb Aprn.

Q: What is Dawn Benefiel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Benefiel was last updated on October 18, 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.

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment

1532 LONE OAK RD STE 310, PADUCAH, KY 42003(270) 538-6200(270) 538-6220 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2020, Sep 17, 2018, Aug 28, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dawn Leighann Benefiel Aprn NPPES

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

DAWN LEIGHANN BENEFIEL APRN (NPI 1609392406) is an individual acute care provider in Paducah, Kentucky, licensed in Kentucky (3011758) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609392406

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDAWN LEIGHANN BENEFIELCredential: APRN

Location Address1532 LONE OAK RD STE 310Paducah, KY 42003-7942

Mailing Address2200 Jefferson Ave Fl 5Toledo, OH 43604-7102

Phone(270) 538-6200

Fax(270) 538-6220

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 14, 2017

Last NPPES UpdateOctober 18, 20244 updates tracked since enumeration

NPPES CertifiedOctober 18, 2024

✔ NPI 1609392406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in KY · 3011758

1532 LONE OAK RD STE 310, Paducah, KY 42003

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Other Names 1

Former Name (1)Dawn Leighann Cobb Aprn

Secondary Practice Locations 2

Location 11124 N 32nd StPaducah, KY 42001 · Phone (931) 289-8720

Location 22603 Kentucky Ave Ste 102Paducah, KY 42003-3815 · Phone (270) 442-3539 · Fax (270) 442-4343

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

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

Dawn Leighann Benefiel Aprn 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 ID8527302082

PECOS Enrollment IDI20181211000168

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 Dawn Benefiel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Kentucky Specialty Care LLC

0.1 mi

Surgery

1530 LONE OAK RD
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
283 clinicians in this Medicare group

NPI 1700408093 (888) 696-3541

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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

338 services210 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

281 services202 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

213 services167 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

145 services120 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

139 services119 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

72 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

63 services56 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

53 services32 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

45 services23 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

35 services11 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

31 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

24 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180102

Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers14 claims4,840 services$5.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JENNY J FRANKE MD

Urology

1532 LONE OAK RD STE 310
PADUCAH, KY 42003

McCracken County (270) 538-6200

CHRISTINA MICHELLE THWEATT APRN

Nurse Practitioner (Family)

1532 LONE OAK RD STE 310
PADUCAH, KY 42003

McCracken County (270) 538-6200

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 Dawn Benefiel's NPI number?

The NPI number for Dawn Benefiel is 1609392406. It was assigned to this individual provider in the NPPES registry on August 14, 2017. The provider is also known as Dawn Leighann Cobb Aprn.

Where is Dawn Benefiel located?

Dawn Benefiel practices at 1532 Lone Oak Rd Ste 310, Paducah, KY 42003. The listed phone number is (270) 538-6200.

What is Dawn Benefiel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Dawn Benefiel enrolled in Medicare?

Yes. Dawn Benefiel 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 organization bills Medicare for Dawn Benefiel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Benefiel reassigns Medicare benefits to Mercy Health Physicians Kentucky Specialty Care LLC (Paducah, KY). 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 Dawn Benefiel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Benefiel accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list Dawn Benefiel 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.

Is Dawn Benefiel affiliated with any hospitals?

According to CMS data, Dawn Benefiel is affiliated with Mercy Health - Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Dawn Benefiel was last updated on October 18, 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.