Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mary Taylor Benson

Individual provider Family Health Clinical Nurse Specialist · NPI 1043602147

Mary Taylor Benson is a Nurse Practitioner in Lakeport, California. Qualified in 2022, 4 years ago. Practices with Sutter Lakeside Home Medical Services, a 21-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in California, Connecticut, Mississippi and Ohio and 1 more.

Years since qualifying
4
Licensed in
CA, CT, MS, OH, WA
In the registry since
2015
Specialties on file
5
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Practice location Address checks out

987 Parallel Dr Ste C
Lakeport, CA 95453-5708
Phone: (707) 262-5088
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 5196 Hill Rd E Ste 300, Lakeport, CA 95453-6374 — (916) 263-6885
  • 85 Lafayette St, New Britain, CT 06051-1803 — (860) 347-6971
  • 300 Nissan Dr, Canton, MS 39046-8562 — (601) 855-8426
  • 8740 Orion Pl Ste 100, Columbus, OH 43240-4063 — (614) 300-5913
  • 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 — (360) 225-4310

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0041364 (OH)
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X · Licence R863948 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95010828 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60909312 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 8067 (CT)

Record details

NPI number1043602147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2015
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sutter Lakeside Home Medical Services — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Sutter Lakeside Home Medical Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 21 clinicians in the practice; 12 are shown here.