Jessica Lee Benoit, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

344674 Issued in NY

Practice address

5010 Ny-30
Amsterdam, NY 12010

Phone

(518) 842-0017

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By the provider in NPPES

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

Enrolled in NY

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benoit13@eetzkorn.medentdirect.com

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.

• Emily T. Etzkorn, M.D., P.C.

  • Internal Medicine Physician
  • Amsterdam, NY
  • NPI 1396856530
  Medicare reassignment NPD
• Emily T. Etzkorn, MD, PC

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1730695552
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1124674957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 FRITZ LN",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106567",
            "telephone_number": "518-844-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 NY-30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-842-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "344674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Barnholt
• Calixto M Barrueco, D,D.S
• Heidi Marie Behrens-Angelo, R.D., C.D.N.
• Byren William Bellen, FNP
• Theresa Belli
• Paul Philip Bentley, DDS
• Cassandra Ruth Berghammer, DPT
• Theresa Bernsesser, B.S. SPED
• Best Care Hospitalist PC
• Yusuf Khalid Bhatti, DMD

• Family Medicine Physician in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.