| Xiaomin Amy Benson, | |
| 
					1142 Bridge Rd, Independence, KY 41051  | |
| (859) 816-1189 | |
| Not Available | 
| Full Name | Xiaomin Amy Benson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1142 Bridge Rd, Independence, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568236198 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4011785 (Kentucky) | Primary | 
| Entity Name | Brock Medical, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567  | 
| Entity Name | Fast Pace Kentucky, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913  | 
| Entity Name | Leila Telehealth Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144979550 PECOS PAC ID: 1658742309 Enrollment ID: O20230117002808  | 
| Entity Name | Regenlife Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609623735 PECOS PAC ID: 4385179142 Enrollment ID: O20241203002233  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Xiaomin Amy Benson, 1142 Bridge Rd, Independence, KY 41051 Ph: (185) 981-6118  | Xiaomin Amy Benson, 1142 Bridge Rd, Independence, KY 41051 Ph: (859) 816-1189  | 
Mrs. Kristine C Disibio, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11745 Madison Pike, Independence, KY 41051 Phone: 859-356-3941 Fax: 859-356-0338  | |
Mrs. Deborah Truesdell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Courthouse Xing, Independence, KY 41051 Phone: 859-356-6800 Fax: 859-363-4073  | |
Lerin Middendorf, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Roselawn Dr, Independence, KY 41051 Phone: 859-322-7118  | |
Brandy Sullivan Branham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Declaration Dr, Independence, KY 41051 Phone: 859-898-1608  | |
Ms. Jennifer Anne Epperson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Courthouse Crossing, Independence, KY 41051 Phone: 859-356-6800 Fax: 859-363-4073  | |
Ciara Nicole Mann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Declaration Dr, Independence, KY 41051 Phone: 859-989-1608  |