Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Leigh Benson, APNP

Individual provider Family Nurse Practitioner · NPI 1124868187

Tara Leigh Benson, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2024, 2 years ago. Practices with Oak Medical SC, a 123-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone: (920) 429-1700
Fax: (920) 429-1799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15391-33 (WI)

Record details

NPI number1124868187
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Oak Medical Sc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay