Madeline Dover Benavidez, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141778 Issued in TX

Practice address

7101 Williams Dr
Corpus Christi, TX 78412-4947

Phone

(361) 561-0145

Fax

(361) 884-1555

NPI assigned

Jun 9, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madelinedbenavidez@cbpm.ssdirect.aprima.com
• Direct secure messaging: coastalbendpainmanagement@cbpm.ssdirect.aprima.com

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.

• Michael E. Tschickardt, M.D., P.a.

  • Interventional Pain Medicine Physician
  • Corpus Christi, TX
  • NPI 1861513863
  Medicare reassignment NPD

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083273510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-561-0145",
            "fax_number": "361-884-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-561-0145",
            "fax_number": "361-884-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784124947",
            "country_code": "US",
            "telephone_number": "361-561-0145",
            "fax_number": "361-884-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "MADELINE",
        "middle_name": "DOVER",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "COASTALBENDPAINMANAGEMENT@CBPM.ssdirect.aprima.com",
            "affiliation": "Y",
            "endpointDescription": "CBPM Direct Message",
            "affiliationName": "Michael E. Tschickardt, M.D., P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7101 Williams Dr",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784124947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaclyn Benavides, LPC
• Jonathan Alexander Benavides, ATC
• Madalenn Benavides
• Sarah Esther Benavides, FNP
• George Benavidez, M.D.
• Melanie Faith Benavidez
• Micaela Elizabeth Xochit Benavidez, PSY.D.
• Peggy Benavidez
• Lucy Mae Benner, PA-C
• Hope Lora Benson, CSFA

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.