BENSON O. SHITOTE (N.P.) – Nurse Practitioner, NPI 1740688530

BENSON O. SHITOTE (N.P.) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. AP126400 (TX). The NPI Number for BENSON O. SHITOTE (N.P.) is 1740688530

Main info

Male
12 Years Of Experience
Name
BENSON O. SHITOTE (N.P.)
NPI
1740688530
Phone
(817) 668-5795
Address
PO BOX 810196
Enumeration Date
11 December 2014
Last Update Date
15 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172764800
Graduation Year
2014 (12 years ago)
PAC ID
7315262953
Group Practice PAC ID
3274603154
Professional Enrollment ID
I20150203000207
Address ID
TX760639144MA301XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BENSON O. SHITOTE (N.P.)

  • PO BOX 810196

    DALLAS, TX 753810196

    Phone: (817) 668-5795

    Fax: (817) 423-7389

    Type: Mailing

  • 2601 W RANDOL MILL RD STE 101

    ARLINGTON, TX 760124216

    Phone: (817) 804-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($134).

Total Amount

$134

General + Research + Ownership

Payments

1

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2015-02-03

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
I20150203000207INurse PractitionerTXTBD

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 75381)

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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: 3274603154View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

Is there an official ID for BENSON O. SHITOTE (N.P.) in U.S. healthcare records?
The official identifier for BENSON O. SHITOTE (N.P.) is NPI 1740688530.
Active or inactive — what applies to BENSON O. SHITOTE (N.P.)?
You should see BENSON O. SHITOTE (N.P.) as active in CMS-hosted NPPES data.
What area of care is associated with BENSON O. SHITOTE (N.P.)?
BENSON O. SHITOTE (N.P.)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is BENSON O. SHITOTE (N.P.) registered?
Use Dallas, Texas as the headline location for BENSON O. SHITOTE (N.P.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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