Paula Jean Dibenedetto, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1077692 Issued in TX

Practice address

117 N Winnsboro St
Quitman, TX 75783-2144

Phone

(037) 636-2209

NPI assigned

Dec 8, 2015

Last updated

Dec 30, 2024By 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 TX

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quitman Hospital LLCGroup PAC ID 9133484330, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pdibenedetto1262220@ahs.direct-ci.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.

• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662
  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  NPD
• Quitman Hospital LLC

  • Rural Health Clinic/Center
  • Canton, TX
  • NPI 1932608452
  NPD (past)
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  NPD (past)
• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD (past)
• Tallahassee Medical Center, Inc.

  dba HCA Florida Capital Hospital

  • Rehabilitation Hospital Unit
  • Tallahassee, FL
  • NPI 1083375828
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1457726085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N WINNSBORO ST",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757832144",
            "telephone_number": "037-636-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WINNSBORO ST",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757832144",
            "telephone_number": "037-636-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1077692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christus Trinity Clinic Texas (Trinity Clinic Quitman)
• Tara Clanton
• Courtney Taylor Crawford, LVN
• David Nichols (All-Nite Sleep Lab)
• Jimmy Davis, LCDC, LCPC, CFC
• James Dee Dopson Jr., MD
• East Texas Medical Center
• East Texas Medical Center Healthcare Associates (First Physicians)
• East Texas Medical Center Quitman
• East Texas Medical Center Quitman (ETMC First Physicians Clinic Quitman)

• Gerontology Nurse Practitioner in Quitman, TX
• Providers in Quitman, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.