MANDI TE BENTON (APRN, FNP-BC) – Adult Health Nurse Practitioner, NPI 1154630473

MANDI TE BENTON (APRN, FNP-BC) is a healthcare provider. based in Honolulu, Hawaii. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. APRN-1301 (HI). The NPI Number for MANDI TE BENTON (APRN, FNP-BC) is 1154630473

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MANDI TE BENTON (APRN, FNP-BC)
NPI
1154630473
Phone
(808) 429-3635
Address
550 S BERETANIA ST STE 601
Enumeration Date
4 October 2010
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
5496934978
Group Practice PAC ID
2466831557
Professional Enrollment ID
I20110131000247
Address ID
HI968132448HO1380XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

887 NURSE PRACTITIONER in HI

Provider Addresses for MANDI TE BENTON (APRN, FNP-BC)

  • 550 S BERETANIA ST STE 601

    HONOLULU, HI 968132423

    Phone: (808) 429-3635

    Type: Mailing

  • 1301 PUNCHBOWL ST

    QUEENS HEART, PAUAHI 3

    HONOLULU, HI 968132402

    Phone: (808) 547-4468

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,692.

Total Amount is formed as General ($1,692) + Research ($0) + Ownership ($0) = $1,692.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($605).

Total Amount

$1,692

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,692

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110131000247INurse PractitionerHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes3522$0
View full utilization report →

Insurance plans in this area (ZIP 96813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466831557View full group profile
NameSpecialtyState
Nurse PractitionerHI
Diagnostic RadiologyMD
Internal MedicineHI
H O S P I T A L I S TKY
Nurse PractitionerHI
Interventional Radiology, NeurosurgeryMD
Family PracticeNY
Internal MedicineHI
Interventional Cardiology, Internal MedicineMT
Geriatric Medicine, Internal MedicineHI

Reviews

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Frequently asked questions

How do payers reference MANDI TE BENTON (APRN, FNP-BC)?
For MANDI TE BENTON (APRN, FNP-BC), use NPI 1154630473 as the unique 10-digit identifier.
Is there an active status for MANDI TE BENTON (APRN, FNP-BC)?
For scheduling context, MANDI TE BENTON (APRN, FNP-BC) is shown as active in the registry.
How would a patient describe MANDI TE BENTON (APRN, FNP-BC)'s focus?
For MANDI TE BENTON (APRN, FNP-BC), the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MANDI TE BENTON (APRN, FNP-BC) associated with Honolulu?
Public fields place MANDI TE BENTON (APRN, FNP-BC) around Honolulu, Hawaii. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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