LESA JOY BENTON (NP) – Gerontology Nurse Practitioner, NPI 1922796077

LESA JOY BENTON (NP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP61415533 (WA). The NPI Number for LESA JOY BENTON (NP) is 1922796077

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LESA JOY BENTON (NP)
NPI
1922796077
Phone
(503) 572-4196
Address
7477 SE 52ND AVE
Enumeration Date
26 April 2023
Last Update Date
11 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033865328
Graduation Year
2022 (4 years ago)
PAC ID
8022476084
Group Practice PAC ID
1254618655
Professional Enrollment ID
I20231016002512
Address ID
OR972068206PO7477XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for LESA JOY BENTON (NP)

  • 7477 SE 52ND AVE

    PORTLAND, OR 972068206

    Phone: (503) 572-4196

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Exact Sciences Corporation ($51).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-10-16

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
I20231016002512INurse PractitionerORTBD

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 97206)

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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: 1254618655View full group profile
NameSpecialtyState
Nurse PractitionerOR
-CA
-OR
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the registry number for LESA JOY BENTON (NP)?
The registry entry for LESA JOY BENTON (NP) shows NPI 1922796077.
Quick check: is LESA JOY BENTON (NP) active?
Public NPPES data shows LESA JOY BENTON (NP) with an active NPI status right now.
What does the directory say LESA JOY BENTON (NP) does?
Insurance directories may phrase it differently, but here LESA JOY BENTON (NP) maps to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LESA JOY BENTON (NP)?
LESA JOY BENTON (NP) shows a connection to Portland, Oregon in registry-derived data.
Why is information missing for LESA JOY BENTON (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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