Active NPI
Melissa Carrie Benedetto, APRN
- Family Nurse Practitioner
- New Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11084
- Practice address
- New Fairfield Family Practice
130 CT-37
New Fairfield, CT 06812 - Phone
- (203) 746-6000
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11084 | CT | Primary |
Addresses
Primary practice location
New Fairfield Family Practice
130 CT-37
New Fairfield, CT 06812
Mailing address
100 Kingswood Dr
Bethel, CT 06801-1844
Phone (914) 414-9019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11084 | Other | CT | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbenedetto@nuvance.edu | Nuvance Health Medical Practice, PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221213003010 | CT | Practitioner - Nurse Practitioner | 9133598188 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11084 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| Southbury Medical Associates, LLP | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
130 State Route 37
New Fairfield, CT 06812
Phone (203) 746-6000
22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Southbury, CT
- NPI 1407984222
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nuvance Health Medical Practice CT Inc
Practice addresses (Care Compare)
130 State Route 37
New Fairfield, CT 06812-4013
Phone (203) 746-6000
Hospital & facility affiliations
- Western Connecticut Home Care Inc
- Danbury Hospital
- Putnam Hospital Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1558087072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGSWOOD DR",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011844",
"telephone_number": "914-414-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW FAIRFIELD FAMILY PRACTICE",
"address_2": "130 CT-37",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "06812",
"telephone_number": "203-746-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDETTO",
"first_name": "MELISSA",
"middle_name": "CARRIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "11084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11084",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbenedetto@nuvance.edu",
"affiliation": "Y",
"affiliationName": "Nuvance Health Medical Practice, PC",
"address_1": "New Fairfield Family Practice",
"address_2": "130 CT-37",
"city": "New Fairfield",
"state": "CT",
"country_code": "US",
"postal_code": "06812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.