Rosalie Grimes Benz, APRN-BC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

090218 Issued in MO

Practice address

200 St. Mary
Pilot Knob, MO 63663

Phone

(573) 546-7000

Fax

(573) 546-6420

NPI assigned

Dec 1, 2006

Last updated

Dec 2, 2015By 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 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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Mines Health CenterGroup PAC ID 3072598143, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

53.06

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/madison-075248be

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.

• Great Mines Health Center

  • Federally Qualified Health Center (FQHC)
  • Potosi, MO
  • NPI 1376536953
  Medicare reassignment Care Compare group NPD
• Iron County Hospital District

  dba Iron County Medical Center

  • Critical Access Hospital
  • Pilot Knob, MO
  • NPI 1477648178
  Medicare reassignment NPD
• Great Mines Health Center

  dba Farmington R-VII - Dayse Baker Learning Center

  • Federally Qualified Health Center (FQHC)
  • Farmington, MO
  • NPI 1073188462
  NPD
• Iron County Hospital District

  dba Iron County Hospital Family Care Clinic

  • Rural Health Clinic/Center
  • Pilot Knob, MO
  • NPI 1073799367
  NPD
• Madison Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Fredericktown, MO
  • NPI 1245305408
  NPD (past)
• Madison Medical Center Stockhoff Memorial Nursing Home

  • Rural Health Clinic/Center
  • Pilot Knob, MO
  • NPI 1649357229
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1407924822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ST. MARY",
            "address_2": "P. O. BOX 523",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636630523",
            "telephone_number": "573-546-7000",
            "fax_number": "573-546-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ST. MARY",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "63663",
            "telephone_number": "573-546-7000",
            "fax_number": "573-546-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZ",
        "first_name": "ROSALIE",
        "middle_name": "GRIMES",
        "credential": "APRN-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "090218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Valley Ambulance Service, Inc.
• Big Springs Medical Association (Missouri Highlands Health Care)
• Big Springs Medical Association (Missouri Highlands Health Care)
• Jill Bleything, DMD
• Boonyasai & Boonyasai, M.D.P. C.
• Boonfu Boonyasai, M.D.

• Family Nurse Practitioner in Pilot Knob, MO
• Providers in Pilot Knob, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.