NPIMap

Individual provider Active NPI

Amy E Benefield

  • Certified Registered Nurse Anesthetist
  • Gulfport, MS
National Provider Identifier
1467764779
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R863937 Issued in MS
Practice address
3017 13TH St
Gulfport, MS 39501-1833
Phone
(228) 831-0050
Fax
(228) 831-1121
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Anesthesia PLLC 20 clinicians
Etas PLLC 43 clinicians

Practice addresses (Care Compare)

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 284-2389

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-4000

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000288 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911193057 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R863937MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia State Anesthesia Services, PLLC CurrentSince May 12, 2024 Accepting new patients
Best Anesthesia, PLLC CurrentSince Feb 21, 2025 Accepting new patients
Etas, PLLC CurrentSince May 3, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 29, 2019 Accepting new patients
Gulf Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2013 Accepting new patients
Coastal Anesthesia Service PA CurrentSince Aug 1, 2020 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 29, 2019 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Gulfport Outpatient Anesthesia, P.a. PastSince Dec 21, 2017 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

3017 13th St
Gulfport, MS 39501
Phone (228) 831-0050

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R863937 MS Primary
Certified Registered Nurse Anesthetist 367500000X 1-125754 AL

Addresses

NPPES NPI Registry

Primary practice location

3017 13TH St
Gulfport, MS 39501-1833

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
02582807MedicaidMS
9963845OtherMSAETNA
1540792OtherMSCIGNA
3476658OtherMSUNITED HEALTHCARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2020.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1467764779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-261-3606",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-831-0050",
            "fax_number": "228-831-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-261-3606",
            "fax_number": "601-579-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEFIELD",
        "first_name": "AMY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R863937",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-125754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02582807",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9963845",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1540792",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3476658",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.