Active NPI
Jay Benoit
- Family Nurse Practitioner
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.024076
- Practice address
- 747 N Rutledge St FL 5
Springfield, IL 62702-6700 - Phone
- (217) 545-8000
- NPI assigned
- Oct 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.024076 | IL | Primary |
Addresses
Primary practice location
747 N Rutledge St FL 5
Springfield, IL 62702-6700
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000
Other practice location 1
515 N College St Lowr Level
Lincoln, IL 62656-1401
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220205000140 | IL | Practitioner - Nurse Practitioner | 8325431844 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Siu Physicians and Surgeons Inc
Practice addresses (Care Compare)
747 N Rutledge St
Springfield, IL 62702-6700
Phone (217) 545-8000
Hospital & facility affiliations
- Memorial Medical Center
- St Johns Hospital
- Abraham Lincoln Memorial Hospital
- Carlinville Area Hospital
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024076 | IL | MD | Family Nurse Practitioner |
Practice roles (5 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
515 N College St
Lowr
Lincoln, IL 62656
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
747 N Rutledge St
Fl 5
Springfield, IL 62702
Phone (217) 545-3262
201 E Madison St
Ste 328
Springfield, IL 62702
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL HMO C-SNP
- IL PPO Downstate
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
Interoperability endpoints
- jaybenoit@siusm.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
IL
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
Hospital
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
Hospital
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1003579335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19639",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949639",
"telephone_number": "217-545-8000",
"fax_number": "844-470-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 N RUTLEDGE ST FL 5",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026700",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "515 N College St Lowr Level",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "IL",
"postal_code": "626561401",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENOIT",
"first_name": "JAY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.024076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.