NICOLE BENNING AGACNP-BC NPI 1164224861

NPI Information

  • NPI: 1164224861
  • Provider Name: NICOLE BENNING, AGACNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 MEDICAL PKWY STE 510
    ANNAPOLIS, MD
    ZIP 21401
  • Phone: (410) 897-0822

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NPI Details

Nicole Benning, AGACNP-BC is a gerontology nurse practitioner in Annapolis, MD with 2 years of experience. Nicole Benning, AGACNP-BC NPI is 1164224861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 MEDICAL PKWY STE 510
ANNAPOLIS, MD
ZIP 21401-747
Phone: (410) 897-0822

The NPI 1164224861 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2025 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyR228496MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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