MRS. BENITA K QUALLS P.A.
NPI 1629245634
Physician Assistant in Lebanon, TN

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
1407 W BADDOUR PKWY, LEBANON, TN 37087(615) 444-6203(615) 444-6252 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Benita K Qualls P.a. NPPES

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

MRS. BENITA K QUALLS P.A. (NPI 1629245634) is an individual physician assistant in Lebanon, Tennessee, licensed in Tennessee (185) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1629245634
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BENITA K QUALLSCredential: P.A.
Location Address1407 W BADDOUR PKWYLebanon, TN 37087-2513
Mailing Address1407 W Baddour PkwyLebanon, TN 37087-2513 · (615) 444-6203 · Fax (615) 444-6252
Fax(615) 444-6252
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 9, 2008
Last NPPES UpdateAugust 9, 2011
NPI 1629245634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 185
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1407 W BADDOUR PKWY, Lebanon, TN 37087

Other Names 1

Former Name (1)Miss Benita K Roberts Pa

Other Identifiers 5

Other3323092TN · Uhc
Medicaid1523861TN
Medicare PIN103I971707TN
Other4298144TN · Bcbs
Other185TN · Physician Assistant License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Benita K Qualls P.a. 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 ID1355529454
PECOS Enrollment IDI20110620000323
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.

Areas of Expertise CMS Part B claims 15

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.
184 services127 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
77 services77 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
67 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
64 services16 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.
62 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 20

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

Nurse Practitioner (Family)
1407 W BADDOUR PKWY
LEBANON, TN 37087
Nurse Practitioner (Family)
1407 W BADDOUR PKWY
LEBANON, TN 37087
Nurse Practitioner (Family)
1407 W BADDOUR PKWY
LEBANON, TN 37087
Family Medicine
1407 W BADDOUR PKWY
LEBANON, TN 37087
Internal Medicine
1407 W BADDOUR PKWY
LEBANON, TN 37087
Internal Medicine
1407 W BADDOUR PKWY
LEBANON, TN 37087
Physician Assistant
1407 W BADDOUR PKWY
LEBANON, TN 37087
Family Medicine
1407 W BADDOUR PKWY
LEBANON, TN 37087

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 Benita Qualls's NPI number?

The NPI number for Benita Qualls is 1629245634. It was assigned to this individual provider in the NPPES registry on May 9, 2008. The provider is also known as Miss Benita K Roberts PA.

Where is Benita Qualls located?

Benita Qualls practices at 1407 W Baddour Pkwy, Lebanon, TN 37087. The listed phone number is (615) 444-6203.

What is Benita Qualls's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benita Qualls enrolled in Medicare?

Yes. Benita Qualls 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.

What insurance does Benita Qualls accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Benita Qualls 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 Benita Qualls affiliated with any hospitals?

According to CMS data, Benita Qualls is affiliated with Tristar Summit Medical Center and Vanderbilt Wilson County Hospital.

When was this NPI record last updated?

The NPPES record for Benita Qualls was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.