Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104248129 Individual Practitioner Female Practitioner

Kimberly Kay Benkner , PNP

Nurse Practitioner - Pediatrics • Troy, MI

Professional Overview & Biography Verified Profile Summary

Kimberly Benkner, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Troy, MI. Practice services are available at 44201 DEQUINDRE RD STE EC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

44201 Dequindre Rd Ste Ec

Troy, MI 480851117

Telephone 2482593088
Fax 2489646133
Associated Practice Facility / Clinic
🏢 Botsford General Hospital Facility NPI 1114935566

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Troy, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Troy, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-27
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704386315

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0111452 (OH)

Secondary Practice Locations

44199 Dequindre Rd Ste 502

Troy, MI 480851128

Phone: 2489645880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1285849455

Doctor of Medicine (M.D.)

NPI 1497955397

Physician Assistant

Andrea Cirrito , PA

Physician Assistant

NPI 1528257326

Physician Assistant

Kelsey Reitzloff , PA

Physician Assistant

NPI 1568179901

Physician Assistant

Rikki Pautz , PA-C

Physician Assistant

NPI 1730551722

Physician Assistant (Certified)

Alexsis Shemka , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1851149959

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 27, 2022

Registered at 44201 DEQUINDRE RD STE EC, TROY, MI 480851117 (Tel: 2482593088)

📍
Updated Business Mailing Address July 27, 2022

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849 (Tel: 9475221865)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Nurse Practitioner (License #4704386315 in MI)

📍
Updated Practice Location September 13, 2021

Registered at 7787 COX LN, WEST CHESTER, OH 450696549 (Tel: 5136448081)

📍
Updated Business Mailing Address September 13, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413000)

👤
Provider Name / Credentials Updated September 13, 2021

Recorded as KIMBERLY BENKNER, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2021

Nurse Practitioner (License #APRN.CNP.15234 in OH)

NPI Profile Active January 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2014

Registered at 6350 GLENWAY AVE, CINCINNATI, OH 452116378 (Tel: 5132468034)

📍
Updated Business Mailing Address January 09, 2014

Registered at 6350 GLENWAY AVE, CINCINNATI, OH 452116378 (Tel: 5132468034)

👤
Provider Name / Credentials Updated January 09, 2014

Recorded as KIMBERLY BENKNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2014

Nurse Practitioner (License #COA.15234-NP in OH)

🟢
Initial NPI Registration & Enumeration January 09, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104248129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2014
Last Update: July 27, 2022
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

Phone: 9475221865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.