BENJAMIN LOUIS PSENCIK (NPI# 1225236532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225236532 |
| Entity Type | Individual |
| Full Name | BENJAMIN LOUIS PSENCIK |
| Credential | APRN, FNP-C |
| Practice Address |
1406 N Texana St Hallettsville TX 77964-2021 |
| Practice Telephone | 3617981200 |
| Mailing Telephone | 3617981200 |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2014-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
534447 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSTX | 8Y3613 | 01 |
| Street Address |
1406 N TEXANA ST |
| City | HALLETTSVILLE |
| State | TX |
| Zip Code | 77964-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599639 | Frank Saunders | Family Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2005-06-24 |
| 1295044550 | Kelly Renee Haas | Physician Assistant | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2010-10-04 |
| 1659680916 | Amanda Lee Kurtz | Physician Assistant | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2010-10-04 |
| 1518132711 | Angel Gonzalez | Internal Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2008-04-28 |
| 1144366956 | Forrest Timothy Kroschel | Dentist | 1406 N Texana St, Suite F, Hallettsville, TX 77964-2021 | 2007-01-29 |
| 1174626386 | Kelly Matthew-gil | Podiatrist | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-09-06 |
| 1497764047 | Lauren Kelly Kutac | Nurse Practitioner | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-08-05 |
| 1770592313 | Carleton K Thompson | Internal Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-08-05 |
| 1699799452 | Susan L Kraemer | Family Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-07-26 |
| 1891739736 | Lavaca Family Health Clinic | Internal Medicine | 1406 N Texana St, Hallettsville, TX 77964-2009 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437583341 | Hopewell Staffing LLC Dba Quality Care Staffing | In Home Supportive Care | 904 D North Glendale St., Hallettsville, TX 77964 | 2013-08-27 |
| 1922330059 | Helping Hearts Sitter Service | In Home Supportive Care | 405b N Texana St, Hallettsville, TX 77964 | 2010-01-29 |
| 1801916663 | Brian Glen Popp | Pharmacist | 1905 County Road 177, Hallettsville, TX 77964 | 2007-03-29 |
| 1982778783 | David M Christie | Chiropractor | 1216 Us Hwy 77a So, Hallettsville, TX 77964 | 2006-11-20 |
| 1396399861 | Shelby Kotulek Freeland | Physician Assistant | 1400 N Texana St, Hallettsville, TX 77964 | 2019-08-01 |
| 1619038619 | Maurice Gilliam Wilkinson | Family Medicine | 1406 N Texana, Hallettsville, TX 77964-2021 | 2006-12-13 |
| 1649233776 | Lavaca Hospital District | Medicare Defined Swing Bed Unit | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2006-04-10 |
| 1992767511 | Lavaca Hospital District | General Acute Care Hospital | 1400 N Texana, Hallettsville, TX 77964-2021 | 2006-04-06 |
| 1700414422 | Monica Griffin | Occupational Therapist | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2020-03-29 |
| 1679927990 | Will Ibanga | Family Medicine | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2016-04-22 |
| Find all providers in zip 77964 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497764047 | Lauren Kelly Kutac | Nurse Practitioner | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | HALLETTSVILLE |
| Zip Code | 77964 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.