Shelby Renae Allen-Benitz, RN BC ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G105043 Issued in IA

Practice address

235 S Eisenhower Ave
Mason City, IA 50401-1562

Phone

(641) 424-2075

Fax

(641) 424-9555

NPI assigned

Jun 10, 2009

Last updated

Jun 25, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prairie Ridge Integrated Behavioral HealthcareGroup PAC ID 6800169194, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Prairie Ridge Integrated Behavioral Healthcare

  dba Prairie Ridge

  • Substance Abuse Rehabilitation Facility
  • Mason City, IA
  • NPI 1952443632
  Medicare reassignment Care Compare group NPD
• Turning Leaf Counseling, Inc

  • Mental Health Counselor
  • Mason City, IA
  • NPI 1417367400
  Medicare reassignment NPD
• Prairie Ridge Integrated Behavioral Healthcare

  dba Prairie Ridge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mason City, IA
  • NPI 1801637061
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1174759666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011562",
            "telephone_number": "641-424-2075",
            "fax_number": "641-424-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011562",
            "telephone_number": "641-424-2075",
            "fax_number": "641-424-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN-BENITZ",
        "first_name": "SHELBY",
        "middle_name": "RENAE",
        "credential": "RN BC ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G105043",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "105043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Kay Albright, LBSW
• Ignatius Alden, MD
• Macy Alexander
• Align Health Chiropractic PLLC
• Align Medical Concepts
• Kieran Allowitz, DO
• Phillip D Alscher, MD
• Natalie Y.H. Alsop, PHD
• Magdalene Ann Alton, LMSW
• Arleen Ambrose

• Psychiatric/Mental Health Nurse Practitioner in Mason City, IA
• Providers in Mason City, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.