Active NPI
Elizabeth Benissan-Messan, PA-C
- Physician Assistant
- Hilliard, OH
National Provider Identifier
1639551161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004365
- Practice address
- 3677 Scioto Darby Rd
Hilliard, OH 43026 - Phone
- (614) 921-0648
- Fax
- (614) 921-0544
- NPI assigned
- Jun 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004365 | OH | Primary |
| Physician Assistant | 363A00000X | 1918 | NE |
Addresses
Primary practice location
3677 Scioto Darby Rd
Hilliard, OH 43026
Mailing address
5677 Scioto Darby Rd
Hilliard, OH 43026-1391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9358461 | Other | OH | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, PA, IL, NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1918 | NE | MD | Mental Health Counselor |
| 030297 | NY | MD | Physical Therapist |
| 50.004365 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients |
Locations
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1053503763
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL, PA
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1639551161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5677 SCIOTO DARBY RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3677 SCIOTO DARBY RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "43026",
"telephone_number": "614-921-0648",
"fax_number": "614-921-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENISSAN-MESSAN",
"first_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-20",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004365",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1918",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "9358461",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.