Active NPI
Maria Benavidez
- Family Nurse Practitioner
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9336296
- Practice address
- 2885 Wellness Ave
Orange City, FL 32763-8396 - Phone
- (386) 917-7627
- NPI assigned
- Oct 18, 2016
- 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 | 9336296 | FL | Primary |
Addresses
Primary practice location
2885 Wellness Ave
Orange City, FL 32763-8396
Mailing address
PO Box 742325
Atlanta, GA 30374-2325
Phone (904) 327-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20161130002235 | FL | Practitioner - Nurse Practitioner | 7618257023 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
Hospital & facility affiliations
- Adventhealth Deland
- Adventhealth Fish Memorial
- Adventhealth Daytona Beach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9336296 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Volusia Healthcare Corporation | Current | Accepting new patients | |
| Southwest Volusia Healthcare Corporation | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Southwest Volusia Healthcare Corporation | Past | Accepting new patients |
Locations
1431 Orange Camp Rd
Ste 118119
Deland, FL 32724
Phone (386) 943-3234
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
1035 Town Center Dr
Orange City, FL 32763
Phone (386) 775-8229
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
2885 Wellness Ave
Orange City, FL 32763
Phone (386) 672-4519
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mbenavidez70581@adventhealth.direct-ci.com
Organizations & group practices 4
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
- Daytona Beach, FL
- NPI 1780100529
FL
-
- Community/Retail Pharmacy
- Orange City, FL
- NPI 1568254159
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1346424165
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
Hospital
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1609327337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742325",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742325",
"telephone_number": "904-327-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 WELLNESS AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638396",
"telephone_number": "386-917-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAVIDEZ",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9336296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.