Individual provider Active NPI

Jennifer E Benoist, NP

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1124250816
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
141268 Issued in MO
Practice address
5000 Cedar Plaza Pkwy
Suite 220
Saint Louis, MO 63128-3854
Phone
(314) 845-9010
Fax
(314) 845-6399
NPI assigned
Aug 14, 2009
Last updated
Aug 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 141268 MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Pkwy
Suite 220
Saint Louis, MO 63128-3854

Mailing address

5000 Cedar Plaza Pkwy
Suite 220
Saint Louis, MO 63128-3854
Phone (314) 845-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040113000089 MO Practitioner - Nurse Practitioner 8820998073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63141
Phone (314) 529-5372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141268MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Dec 29, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Dec 29, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Jan 20, 2014 Accepting new patients
Internal Medicine Consultants II, LLC Past Accepting new patients

Locations

416 S High St
Butler, MO 64730
Phone (660) 679-6157

1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555

12101 Woodcrest Executive Dr
Ste 102
Saint Louis, MO 63141
Phone (314) 453-0990

12101 Woodcrest Executive Dr
Ste 102A
Saint Louis, MO 63141
Phone (314) 529-5372

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L 2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1124250816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "314-845-9010",
            "fax_number": "314-845-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "314-845-9010",
            "fax_number": "314-845-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIST",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "141268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.