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CAROLYN A BENSON NP
NPI 1861408882
Nurse Practitioner in Worcester, MA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST STE 230S, WORCESTER, MA 01608(508) 368-3150(508) 368-3152 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2022, Apr 1, 2019 (2 updates tracked since 2019).

About Carolyn A Benson Np NPPES

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

CAROLYN A BENSON NP (NPI 1861408882) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN168131) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861408882
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLYN A BENSONCredential: NP
Location Address123 SUMMER ST STE 230SWorcester, MA 01608-1216
Mailing Address123 Summer St Ste 230sWorcester, MA 01608-1216 · (508) 368-3150 · Fax (508) 368-3152
Phone(508) 368-3150
Fax(508) 368-3152
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1861408882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MA · RN168131✔ Licensed in CT · 8151
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN168131 (MA)
123 SUMMER ST STE 230S, Worcester, MA 01608
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Other Identifiers 1

Medicaid110016483AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Carolyn A Benson Np 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 ID3072537349
PECOS Enrollment IDI20060125000773
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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,510 services12 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.
136 services114 patients
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.
42 services42 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
33 services12 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.
33 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 3

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

BROOKE ELIZABETH BLOOM DO
Psychiatry & Neurology (Neurology)
123 SUMMER ST STE 230S
WORCESTER, MA 01608
Worcester County (508) 368-3150
HANDE CAN MD
Psychiatry & Neurology (Neurology)
123 SUMMER ST STE 230S
WORCESTER, MA 01608
Worcester County (508) 368-3150
ABIGAIL BOSE MD
Psychiatry & Neurology (Neurology)
123 SUMMER ST STE 230S
WORCESTER, MA 01608
Worcester County (508) 368-3150

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 Carolyn Benson's NPI number?

The NPI number for Carolyn Benson is 1861408882. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Carolyn Benson located?

Carolyn Benson practices at 123 Summer St Ste 230S, Worcester, MA 01608. The listed phone number is (508) 368-3150.

What is Carolyn Benson's specialty?

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

Is Carolyn Benson enrolled in Medicare?

Yes. Carolyn Benson 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 Carolyn Benson accept?

Health plans from Anthem Blue Cross and Blue Shield list Carolyn Benson 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 Carolyn Benson was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.