Jessica Ann Von Benken, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11200098 Issued in OH

Practice address

1313 Bel Air Cir
Macedonia, OH 44056-1996

Phone

(440) 785-9003

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Traveling Nurse Practitioner, LLCGroup PAC ID 7012040421, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Cuyahoga Falls, OH, CCN 367549
• Alpine Home Health Home health agency, Ravenna, OH, CCN 368254
• Luxe Home Health Care LLC Home health agency, Avon, OH, CCN 369338

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Traveling Nurse Practitioner, LLC

  • General Practice Registered Nurse
  • Wadsworth, OH
  • NPI 1588995849
  Medicare reassignment Care Compare group NPD

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Cuyahoga Falls, OH
  • NPI 1851894976
  Care Compare affiliation
• Homecare Network of Ohio, Inc

  dba Alpine Home Health

  • Home Health Agency
  • Ravenna, OH
  • NPI 1790962579
  Care Compare affiliation
• Luxe Home Health Care LLC

  • Home Health Agency
  • Avon, OH
  • NPI 1699422675
  Care Compare affiliation

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1508442740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BEL AIR CIR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561996",
            "telephone_number": "440-785-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BEL AIR CIR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561996",
            "telephone_number": "440-785-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BENKEN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "11200098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Elaine Vana
• Indiradevi Vellanki, MD
• Ida G Vickers, LPN
• Vividly Profound LLC (Vitalized Laboratory)
• Melissa Voigt, BSN, RN, IBCLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1927)
• Wal-Mart Stores East, LP (Vision Center 30-1927)
• Walgreen Co (Walgreens #07719)
• Rebecca Ann Wallace, OTR/L
• Michael Alan Willen, D.D.S.

• Adult Health Nurse Practitioner in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.