Individual provider Active NPI

Rachel De Benedetto

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1053018283
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11023874 Issued in FL
Practice address
1478 Jordan Hills CT
Clearwater, FL 33756-2368
Phone
(727) 461-3896
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11023874 FL Primary

Addresses

Primary practice location

1478 Jordan Hills CT
Clearwater, FL 33756-2368

Mailing address

510 Palmer Cir
Palm Harbor, FL 34685-1913
Phone (908) 763-8708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804003287 FL Practitioner - Nurse Practitioner 9032570106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Metabolic Treatment Centers LLCGroup PAC ID 0042674335, 2 clinicians

Practice addresses (Care Compare)

1200 S Pinellas Ave
Suite 1
Tarpon Springs, FL 34689-3715
Phone (727) 682-5917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Metabolic Treatment Centers, LLC CurrentSince May 16, 2023 Accepting new patients

Locations

1200 S Pinellas Ave
Ste 1
Tarpon Springs, FL 34689
Phone (727) 682-5917

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1053018283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PALMER CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851913",
            "telephone_number": "908-763-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 JORDAN HILLS CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562368",
            "telephone_number": "727-461-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BENEDETTO",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.