Individual provider Active NPI

Yvette Dorsey-Benson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1083928386
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0029005 Issued in OH
Practice address
70 Birch Aly Ste 240
Dayton, OH 45440-1477
Phone
(866) 975-7469
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 344101 OH
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 344101 OH
Community Health Registered Nurse 163WC1500X 344101 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X 344101 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0029005 OH Primary

Addresses

Primary practice location

70 Birch Aly Ste 240
Dayton, OH 45440-1477

Mailing address

70 Birch Aly Ste 240
Dayton, OH 45440-1477
Phone (866) 975-7469

Other practice location 1

60 Lawrence Ave
Miamisburg, OH 45342-3549
Phone (866) 975-7469

Other practice location 2

5868 Alder Ct
Liberty Township, OH 45044-5779
Phone (513) 755-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220414002557 OH Practitioner - Nurse Practitioner 9234525460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344101OHMDPsychiatric/Mental Health Registered Nurse
0029005OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Star Pathways CurrentSince Jul 28, 2019 Accepting new patients
Star Pathways CurrentSince Jan 3, 2018 Accepting new patients

Locations

70 Birch Aly
Ste 240
Dayton, OH 45440
Phone (408) 507-1061

60 Lawrence Ave
Miamisburg, OH 45342
Phone (513) 755-2228

Organizations & group practices 2

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1083928386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454401477",
            "telephone_number": "866-975-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454401477",
            "telephone_number": "866-975-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423549",
            "country_code": "US",
            "telephone_number": "866-975-7469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5868 Alder Ct",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450445779",
            "country_code": "US",
            "telephone_number": "513-755-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY-BENSON",
        "first_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "344101",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "344101",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "344101",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "344101",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0029005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.