Healthcare Provider Details

I. General information

NPI: 1336731918
Provider Name (Legal Business Name): ASHLEE L BENKE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEE GAST

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N MADISON AVE STE 260
ANDERSON IN
46011-3453
US

IV. Provider business mailing address

8558 BROADWAY
MERRILLVILLE IN
46410-7032
US

V. Phone/Fax

Practice location:
  • Phone: 765-298-4660
  • Fax:
Mailing address:
  • Phone: 219-392-7084
  • Fax: 219-703-6854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP61131757
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71012466A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: