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MR. BENSON ELLIOTT BAGWELL FNP-BC
NPI 1639703820
Nurse Practitioner - Family in Clemson, SC

Active since February 26, 2020PECOS Enrolled
111 EVERGREEN DR, CLEMSON, SC 29631(202) 631-1232 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Benson Elliott Bagwell Fnp-bc NPPES

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

MR. BENSON ELLIOTT BAGWELL FNP-BC (NPI 1639703820) is an individual family provider in Clemson, South Carolina, licensed in Washington (AP61040729) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639703820
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BENSON ELLIOTT BAGWELLCredential: FNP-BC
Location Address111 EVERGREEN DRClemson, SC 29631-2057
Mailing Address111 Evergreen DrClemson, SC 29631-2057 · (202) 631-1232
Phone(202) 631-1232
Sole ProprietorYes
Enumeration DateFebruary 26, 2020
✔ NPI 1639703820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61040729
111 EVERGREEN DR, Clemson, SC 29631
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benson Elliott Bagwell Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29631 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Benson Bagwell's NPI number?

The NPI number for Benson Bagwell is 1639703820. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Benson Bagwell located?

Benson Bagwell practices at 111 Evergreen Dr, Clemson, SC 29631. The listed phone number is (202) 631-1232.

What is Benson Bagwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Benson Bagwell enrolled in Medicare?

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

What insurance does Benson Bagwell accept?

Health plans from Providence Health Plan list Benson Bagwell 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 Benson Bagwell was last updated on February 26, 2020. 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.