MRS. RENA BENTON – Home Health Agency, NPI 1962939926

Home Health Agency

MRS. RENA BENTON is a healthcare provider. based in Grand blanc, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 2025046358 (MI). The NPI Number for MRS. RENA BENTON is 1962939926

Main info

Female

Sole Proprietor

1 Year Of Experience

Accepts Medicare Assignment

Name

MRS. RENA BENTON

NPI

1962939926

Phone

(810) 624-6578

Address

12750 S SAGINAW ST STE 203

Enumeration Date

21 May 2017

Last Update Date

31 January 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8328694818235

Graduation Year

2025 (1 year ago)

PAC ID

5092207852

Group Practice PAC ID

7911345764

Professional Enrollment ID

I20251120000220

Address ID

MI481262739DE290XXDRXX401

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience56

Completeness85

Years active:9State licenses:2Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. RENA BENTON

12750 S SAGINAW ST STE 203
GRAND BLANC, MI 484391841
Phone: (810) 624-6578
Fax: (810) 624-6578
Type: Location
5916 AUGUSTA LN
GRAND BLANC, MI 484399473
Phone: (810) 624-6578
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-20

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20251120000220	I	Nurse Practitioner	MI	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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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: 7911345764View full group profile

Name	Specialty	State
MARTHA MUKWADA (NP-C/PMHNP)	Nurse Practitioner	MI
DIANE STEIN (RN)	Nurse Practitioner	MI
MS. SHATHA ALKATIB (MS, PA-C, MPH)	Physician Assistant	MI
MRS. HELENA PUHALJ (P.A.-C)	Physician Assistant	MI
TATIYANA RICH	Nurse Practitioner	MI
EMILY P DENNIS (PA-C)	Physician Assistant	MI
KHOULOUD MAROUN-YAMMINE (RN,MSN)	Nurse Practitioner	MI
MS. CATHERINE JOSEPHINE NKUTA (RN)	Nurse Practitioner	MI
DR. ARIES RAE STERN (DO)	P S Y C H I A T R Y	MI
ROBIN NICOLE ZODY (PMHNP-BC)	Nurse Practitioner	MI