KAITLYN BENDER (APN) – Hospice and Palliative Medicine (Emergency Medicine) Physician, NPI 1164192027

KAITLYN BENDER (APN) is a healthcare provider. based in Brick, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ01190400 (NJ). The NPI Number for KAITLYN BENDER (APN) is 1164192027

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN BENDER (APN)
NPI
1164192027
Phone
(732) 836-4415
Address
425 Jack Martin Blvd
Enumeration Date
14 September 2021
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2012737047
Graduation Year
2021 (5 years ago)
PAC ID
4284032210
Group Practice PAC ID
0446635510
Professional Enrollment ID
I20211006000584
Address ID
NJ07102XXXXNEXXXXXXXXXX00

Contacts

Secure Messaging
kaitlyn.bender@hmhn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

7,574 NURSE PRACTITIONER in NJ

Provider Addresses for KAITLYN BENDER (APN)

  • 425 Jack Martin Blvd

    Brick, NJ 087247732

    Phone: (732) 836-4415

    Type: Location

  • 1 RIVERFRONT PLZ STE 300

    NEWARK, NJ 071025412

    Phone: (201) 273-7047

    Fax: (855) 998-4358

    Type: Location

  • 425 JACK MARTIN BLVD

    BRICK, NJ 087247732

    Phone: (732) 836-4415

    Type: Location

  • 1216 CLOVER RD

    BRICK, NJ 087241013

    Phone: (732) 610-8136

    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: 2021-10-06

PECOS data refreshed: 2026-06-15

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
I20211006000584INurse PractitionerNJTBD

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
99497Advance care planning, first 30 minutes395304$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes212206$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes153105$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7068$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3533$0
View full utilization report →

Insurance plans in this area (ZIP 08724)

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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: 0446635510View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerCT
Nurse PractitionerNJ
Nurse PractitionerPA
Nurse PractitionerNY
Emergency MedicineNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Where can patients find KAITLYN BENDER (APN)'s NPI?
You can confirm KAITLYN BENDER (APN) with NPI 1164192027; it appears in the national provider directory.
Is KAITLYN BENDER (APN) currently active in the NPI registry?
CMS-published data lists KAITLYN BENDER (APN) as an active registrant.
What kind of provider is KAITLYN BENDER (APN)?
The page reflects Hospice and Palliative Medicine (Emergency Medicine) Physician for KAITLYN BENDER (APN). Clinical services aligned with this taxonomy classification.
What location shows for KAITLYN BENDER (APN)?
We surface Brick, New Jersey for KAITLYN BENDER (APN) based on available NPPES addresses.
Is KAITLYN BENDER (APN) a real provider?
This page reflects official NPPES data for NPI 1164192027. Always confirm identity and privileges with the practice and licensing boards.

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