KAREN BENSINGER – Nurse Practitioner, NPI 1790933893

KAREN BENSINGER is a healthcare provider. based in Lehighton, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP008297 (PA). The NPI Number for KAREN BENSINGER is 1790933893

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KAREN BENSINGER
NPI
1790933893
Phone
(610) 377-1300
Address
211 N. 12TH ST.
Enumeration Date
3 September 2008
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607886404
Graduation Year
2004 (22 years ago)
PAC ID
0345473906
Group Practice PAC ID
8527488030
Professional Enrollment ID
I20140506000717
Address ID
PA171011071HA600XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for KAREN BENSINGER

  • Saint Luke's Gnaden Huetten Campus, 211, North 12th Street, Lehighton, Carbon County, Pennsylvania, 18235, United States

    LEHIGHTON, PA 182351138

    Phone: (610) 377-1300

    Type: Mailing

  • PO BOX 1595

    MIDDLETOWN, CT 064578095

    Phone: (860) 788-6404

    Fax: (860) 398-6441

    Type: Mailing

  • 600 N 2ND ST STE 401

    HARRISBURG, PA 171011071

    Phone: (860) 788-6404

    Fax: (860) 398-6441

    Type: Location

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: 2014-05-06

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
I20140506000717INurse PractitionerPATBD

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
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional1,038216$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes845187$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes424130$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6161$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 18235)

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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: 8527488030View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Nurse PractitionerPA
Nurse PractitionerCT
Clinical Social WorkerPA
Clinical Social WorkerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerCT
Nurse PractitionerCT
Clinical PsychologistPA

Reviews

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Frequently asked questions

What unique ID ties claims to KAREN BENSINGER?
NPI 1790933893 is assigned to KAREN BENSINGER under the national enumeration system.
Does this profile mean KAREN BENSINGER is currently active?
Yes — KAREN BENSINGER appears active in the national provider directory.
Does KAREN BENSINGER list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KAREN BENSINGER. Clinical services aligned with this taxonomy classification.
What location metadata exists for KAREN BENSINGER?
The page summarizes Lehighton, Pennsylvania for KAREN BENSINGER; expand the address list for detail.
How can I contact KAREN BENSINGER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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