Individual provider Active NPI

Jenna M Benchek, PA-C

  • Physician Assistant
  • Medina, OH
National Provider Identifier
1326548850
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005474RX Issued in OH
Practice address
5783 Wooster Pike
Medina, OH 44256-8816
Phone
(330) 725-0569
NPI assigned
Feb 21, 2018
Last updated
Nov 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005474RX OH Primary

Addresses

Primary practice location

5783 Wooster Pike
Medina, OH 44256-8816

Mailing address

5783 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569

Other identifiers 1

IdentifierTypeStateIssuer
094616458OtherGOLDEN RULE

Other names 1

  • Jenna M Rindler Former name

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
I20180521001130 OH Practitioner - Physician Assistant 0143585273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMT Dermatology Associates Inc.Group PAC ID 6709787989, 17 clinicians

Practice addresses (Care Compare)

17982 Royalton Rd
Strongsville, OH 44136-5149
Phone (330) 725-0569

2865 Ctr Rd
Suite 5
Brunswick, OH 44212-2324
Phone (330) 725-0569

300 Weatherstone Dr
Suite 106
Wadsworth, OH 44281-7833
Phone (330) 725-0569

5779 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569

5783 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005474RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health Center Inc PastSince Nov 28, 2021 Accepting new patients

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, 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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1326548850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCHEK",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005474RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN RULE",
            "identifier": "094616458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "RINDLER",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.