HELENA MARIE BENHAM
NPI 1639821473
Nurse Practitioner - Family in Louisville, KY

Active since January 24, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1941 BISHOP LN STE 200, LOUISVILLE, KY 40218(502) 888-1988 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 3, 2025, Aug 18, 2022, Jan 24, 2022 (3 updates tracked since 2022).

About Helena Marie Benham NPPES

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

HELENA MARIE BENHAM (NPI 1639821473) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3017327) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639821473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHELENA MARIE BENHAM
Location Address1941 BISHOP LN STE 200Louisville, KY 40218-1973
Mailing AddressPo Box 381468Germantown, TN 38183-1468
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 24, 2022
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1639821473 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 KY · 3017327
1941 BISHOP LN STE 200, Louisville, KY 40218

Secondary Practice Locations 2

Location 1170 Dr Arla Way Ste 101Louisville, KY 40229-5427 · Phone (502) 888-1988
Location 2438 Adam Shepherd PkwyShepherdsville, KY 40165-6742 · Phone (502) 888-1988

Other Identifiers 1

Medicaid7100826410KY

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

Helena Marie Benham 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 ID1557755238
PECOS Enrollment IDI20220222002587
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 6

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.
440 services341 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.
323 services254 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
35 services15 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.
23 services23 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.
21 services15 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
19 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Gastroenterology)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Internal Medicine (Gastroenterology)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Nurse Practitioner (Family)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Internal Medicine (Gastroenterology)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Nurse Practitioner (Acute Care)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Internal Medicine (Gastroenterology)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Nurse Practitioner (Family)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218
Nurse Practitioner (Family)
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218

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 Helena Benham's NPI number?

The NPI number for Helena Benham is 1639821473. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Helena Benham located?

Helena Benham practices at 1941 Bishop Ln Ste 200, Louisville, KY 40218. The listed phone number is (502) 888-1988.

What is Helena Benham's specialty?

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

Is Helena Benham enrolled in Medicare?

Yes. Helena Benham 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 Helena Benham accept?

Health plans from CareSource list Helena Benham 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 Helena Benham affiliated with any hospitals?

According to CMS data, Helena Benham is affiliated with Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Helena Benham was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.