KAREN BENSINGER
NPI 1790933893
Nurse Practitioner in Harrisburg, PA

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
600 N 2ND ST STE 401, HARRISBURG, PA 17101(860) 788-6404(860) 398-6441 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Bensinger NPPES

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

KAREN BENSINGER (NPI 1790933893) is an individual nurse practitioner in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP008297) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790933893
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN BENSINGER
Location Address600 N 2ND ST STE 401Harrisburg, PA 17101-1071
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 398-6441
Fax(860) 398-6441
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 3, 2008
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1790933893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP008297
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

600 N 2ND ST STE 401, Harrisburg, PA 17101

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

Karen Bensinger 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 ID345473906
PECOS Enrollment IDI20140506000717
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 7

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.

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
1,829 services254 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,221 services227 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
64 services57 patients
Initial nursing facility visit per day, typically 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
46 services46 patients
Initial nursing facility visit per day, typically 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
32 services32 patients
Initial nursing facility visit per day, typically 45 minutes 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Behavior Analyst
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Specialist
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Counselor (Addiction (Substance Use Disorder))
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Nurse Practitioner (Psychiatric/Mental Health)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Nurse Practitioner (Adult Health)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Nurse Practitioner (Family)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Nurse Practitioner (Psychiatric/Mental Health)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Social Worker (Clinical)
600 N 2ND ST STE 401
HARRISBURG, PA 17101

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 Karen Bensinger's NPI number?

The NPI number for Karen Bensinger is 1790933893. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Karen Bensinger located?

Karen Bensinger practices at 600 N 2nd St Ste 401, Harrisburg, PA 17101. The listed phone number is (860) 788-6404.

What is Karen Bensinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Bensinger enrolled in Medicare?

Yes. Karen Bensinger 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 Karen Bensinger accept?

Health plans from Providence Health Plan list Karen Bensinger 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 Karen Bensinger was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.