Evangeline Benoit
Individual provider Active NPI Certified Registered Nurse Anesthetist · West Haven, CT
NPI 1013097591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013097591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R52900 (CT)
- Practice address
- 950 Campbell Ave
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- Fax
- (203) 937-3845
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
- Montefiore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070515000219 | CT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658478391 | Reassigns benefits to 3 organizations |
| I20220221001089 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658478391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R52900 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current |
Accepting new patients | |
| Stamford Anesthesiology Services, PC | Current |
Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Past | Accepting new patients | |
| Greenwich Anesthesiology Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
778 Long Ridge Rd
Ste 2
Stamford, CT 06902
Phone (203) 322-2400
4 Hospital Plz
Ste 414
Stamford, CT 06902
Phone (203) 504-7299
4 Hospital Plz
Stamford, CT 06902
Phone (203) 371-7884
4 Hospital Plz
Ste 415
Stamford, CT 06902
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
111 E 210th St
Bronx, NY 10467
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R52900 | CT | Yes |
Addresses
Primary practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
950 Campbell Ave
West Haven, CT 06516-2770
Phone (203) 932-5711
Other providers in West Haven, CT
- Lakia Belle
- Lamont Maurice Belle
- Wendy P Bellmore
- Anthony David Bellucci
- Kelly Benavente
- Sean Benton
- Kimberly Rose Berardis
- Jeffrey Scott Berkley
- Catherine Bernardo
- Lindsey Bertholet
All providers in West Haven, CT · Certified Registered Nurse Anesthetist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.