CARLA BENAVIDES
NPI 1891246088
Nurse Practitioner in Sterling Heights, MI

Active since October 22, 2016PECOS EnrolledAccepts Medicare Assignment
44645 MOUND RD, STERLING HEIGHTS, MI 48314(586) 580-0280 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2016, Oct 22, 2016 (2 updates tracked since 2016).

About Carla Benavides NPPES

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

CARLA BENAVIDES (NPI 1891246088) is an individual nurse practitioner in Sterling Heights, Michigan, licensed in Michigan (4704282209) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891246088
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLA BENAVIDES
Location Address44645 MOUND RDSterling Heights, MI 48314-1321
Mailing Address44645 Mound RdSterling Heights, MI 48314-1321 · (586) 580-0280
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 22, 2016
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
NPI 1891246088 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 MI · 4704282209
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.

44645 MOUND RD, Sterling Heights, MI 48314

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

Carla Benavides 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 ID7416237102
PECOS Enrollment IDI20161215001582
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
327 services73 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48314 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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

Internal Medicine
44645 MOUND RD
STERLING HEIGHTS, MI 48314
Clinic/Center (Urgent Care)
44645 MOUND RD
STERLING HEIGHTS, MI 48314
Internal Medicine
44645 MOUND RD
STERLING HEIGHTS, MI 48314
Nurse Practitioner (Family)
44645 MOUND RD
STERLING HEIGHTS, MI 48314

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 Carla Benavides's NPI number?

The NPI number for Carla Benavides is 1891246088. It was assigned to this individual provider in the NPPES registry on October 22, 2016.

Where is Carla Benavides located?

Carla Benavides practices at 44645 Mound Rd, Sterling Heights, MI 48314. The listed phone number is (586) 580-0280.

What is Carla Benavides's specialty?

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

Is Carla Benavides enrolled in Medicare?

Yes. Carla Benavides 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 Carla Benavides accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Carla Benavides 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 Carla Benavides affiliated with any hospitals?

According to CMS data, Carla Benavides is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Carla Benavides was last updated on November 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.