Stella Benya, AGPCNP-BC, RN-BSN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209018239 Issued in IL

Practice address

11528 183Rd St
Orland Park, IL 60467

Phone

(919) 349-3467

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Illinois Back and Joint PLLC

  dba Illinois Back Institute

  • Sports Medicine (Family Medicine) Physician
  • Orland Park, IL
  • NPI 1750985214
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043794332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11528 183RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11528 183RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "919-349-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYA",
        "first_name": "STELLA",
        "credential": "AGPCNP-BC, RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209018239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie C Benes, MA LCPC
• Diane L Bennett, LCSW
• William J. Bennett III, D.D.S.
• Melissa R Beno-Tokarz, LCSW
• Estela Bentley, L.C.S.W.
• Dalton J Bergeron, DPT
• Justin Bergmann
• Kirk Bergmark, A.P.R.N.,C.N.S.
• Ma Lilibeth Bergonio, PT
• Bernard W. Murray DDS LTD

• Primary Care Nurse Practitioner in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.