KIMBERLY BENKO (CNP) – Family Nurse Practitioner, NPI 1720002637
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for KIMBERLY BENKO (CNP)
731, East Southlake Boulevard, Park Village, Southlake, Tarrant County, Texas, 76092, United States
100
SOUTHLAKE, TX 760926377
Phone: (817) 424-3366
Fax: (817) 424-3426
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 21 Open Payments records for all available years, with a total value of $501.
Total Amount is formed as General ($501) + Research ($0) + Ownership ($0) = $501.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($142).
Total Amount
$501
General + Research + Ownership
Payments
21
Total payment records
General Amount
$501
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $142 |
| GlaxoSmithKline, LLC. | $71 |
| Medtronic, Inc. | $32 |
| Merck Sharp & Dohme LLC | $31 |
| Astellas Pharma US Inc | $27 |
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: 2013-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130206000210 | I | Nurse Practitioner | TX | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 199 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 139 | 70 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 130 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 124 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 68 | 68 | $0 |
Insurance plans in this area (ZIP 76092)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 81002 | Urinalysis, manual test | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
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