LISA A BENSON (PA-C) – Physician Assistant, NPI 1417500646

LISA A BENSON (PA-C) is a healthcare provider. based in Cle elum, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for LISA A BENSON (PA-C) is 1417500646

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
LISA A BENSON (PA-C)
NPI
1417500646
Phone
(678) 592-3490
Address
2631 SUMMIT VIEW RD
Enumeration Date
17 July 2019
Last Update Date
17 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
7517392566
Group Practice PAC ID
1557391596
Professional Enrollment ID
I20200121001485
Address ID
WA989023713YA406XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for LISA A BENSON (PA-C)

  • Summit View Road, Cle Elum, Kittitas County, Washington, 98922, United States

    CLE ELUM, WA 989225502

    Phone: (678) 592-3490

    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 7 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($45).

Total Amount

$143

General + Research + Ownership

Payments

7

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2020-01-21

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
I20200121001485IPhysician AssistantWATBD

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 98922)

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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: 1557391596View full group profile
NameSpecialtyState
Physician AssistantWA
Emergency MedicineWA
Internal MedicineNJ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Internal MedicineWA
-WA
Family PracticeWA
H E M A T O L O G Y/ O N C O L O G YWI

Reviews

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Frequently asked questions

Can I verify LISA A BENSON (PA-C) with an NPI only?
You can start verification with NPI 1417500646 for LISA A BENSON (PA-C), then check state licensing separately.
Does CMS list LISA A BENSON (PA-C) as active?
Yes — LISA A BENSON (PA-C) is active in the NPI listing used on this page.
What healthcare role does LISA A BENSON (PA-C) hold?
Scheduling teams often label LISA A BENSON (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for LISA A BENSON (PA-C)?
LISA A BENSON (PA-C)'s geographic hint is Cle Elum, Washington in our summary view.
Why does LISA A BENSON (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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