CHAD BENNINGHOFF (NP) – Family Nurse Practitioner, NPI 1912256256
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for CHAD BENNINGHOFF (NP)
160 RAINTREE DR
KYLE, TX 786405837
Phone: (512) 203-0413
Type: Mailing
1301 WONDER WORLD DR
SAN MARCOS, TX 786667533
Phone: (512) 353-8979
Type: Location
9321 W Thomas Rd Ste 205
Phoenix, AZ 850373392
Phone: (866) 974-2673
Fax: (866) 939-2673
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: 2025-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20121030000194 | I | Nurse Practitioner | TX | TBD |
| I20140619000765 | I | Nurse Practitioner | NM | TBD |
| I20151209001141 | I | Nurse Practitioner | AZ | TBD |
| I20170912001692 | I | Nurse Practitioner | CA | TBD |
| I20251103001100 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 36 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | 28 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 27 | 25 | $0 |
Insurance plans in this area (ZIP 78640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Emergency Medicine | NM | |
| Emergency Medicine | CA | |
| Emergency Medicine | NC | |
| Family Practice, Emergency Medicine, Emergency Medicine | MS | |
| Nurse Practitioner | AZ | |
| Emergency Medicine | MI | |
| Emergency Medicine | AZ | |
| - | IL | |
| Emergency Medicine | TX |
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