Individual provider Active NPI

Melissa Carrie Benedetto, APRN

  • Family Nurse Practitioner
  • New Fairfield, CT
National Provider Identifier
1558087072
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11084 Issued in CT
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

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11084OtherCTLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221213003010 CT Practitioner - Nurse Practitioner 9133598188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11084CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Dec 30, 2022 Accepting new patients
Southbury Medical Associates, LLP PastSince Dec 30, 2022 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.

Hospital & facility affiliations 4

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

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 742 clinicians

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 Home health agency, Danbury, CT, CCN 077088
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

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

Verify at the official NPI Registry.