Amy Elizabeth Benchina, PMHNP
Individual provider Active NPI Nurse Practitioner · Charlotte, NC
NPI 1316596240 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1316596240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5012211 (NC)
- Practice address
- 3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179 - Phone
- (980) 302-8850
- Fax
- (704) 316-8118
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5061
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191113002525 | NC | Practitioner - Nurse Practitioner | 1153753199 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012211 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current |
Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current |
Accepting new patients | |
| Forsyth Memorial Hospital Inc | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5012211 | NC | |
| Nurse Practitioner | 363L00000X | 5012211 | NC | Yes |
Addresses
Primary practice location
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9414
Other practice location 1
200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019038154 | Other | ANCC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amartins740975@direct.novanthealth.org |
Other providers in Charlotte, NC
- Vitaliy Belyshev
- Joseph Belyusar
- Katherine Deane Beman
- Ben Castelsky DMD PLLC
- Ericka Benbow
- Benchmark Physical Therapy of NC, LLC
- Benchmark Physical Therapy of NC, LLC
- Benchmark Physical Therapy of NC, LLC
- Benchmark Physical Therapy of NC, LLC
- Benchmark Physical Therapy of NC, LLC
All providers in Charlotte, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.