Individual provider Active NPI

Benetta V Nyenpan, APRN-CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1669369815
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0039507 Issued in OH
Practice address
460 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-5066
Fax
(614) 293-9449
NPI assigned
Jun 20, 2025
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0039507 OH Primary
Women's Health Nurse Practitioner 363LW0102X APRNCNP0039507 OH
Family Medicine Physician 207Q00000X APRNCNP0039507 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X APRNCNP0039507 OH

Addresses

Primary practice location

460 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-5066

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250729003041 OH Practitioner - Nurse Practitioner 7012424583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Infusion Express of Ohio PA CoGroup PAC ID 7416288238, 16 clinicians

Practice addresses (Care Compare)

2227 State Route 256
Suite D
Reynoldsburg, OH 43068-9326
Phone (614) 335-9988

5888 Cleveland Ave
Columbus, OH 43231-2860
Phone (614) 882-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRNCNP0039507OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC Current Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jul 21, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jul 21, 2025 Accepting new patients
Complete Healthcare for Women Inc. CurrentSince Sep 9, 2025 Accepting new patients
Infusion Express of Ohio PA Co CurrentSince Aug 6, 2025 Accepting new patients
Aspire Health of Ohio Inc CurrentSince Oct 19, 2025 Accepting new patients
Complete Healthcare for Women Inc. CurrentSince Sep 9, 2025 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1255 Parsons Ave
Columbus, OH 43206

5888 Cleveland Ave
Columbus, OH 43231
Phone (614) 600-2979

5910 Cleveland Ave
Columbus, OH 43231
Phone (614) 888-2450

6397 Emerald Pkwy
Ste 207
Dublin, OH 43016
Phone (661) 365-2512

7557 Sawmill Rd
Dublin, OH 43016
Phone (614) 349-2132

957 Becks Knob Rd
Lancaster, OH 43130
Phone (740) 653-9481

670 Hill Rd N
Ste A
Pickerington, OH 43147

2227 State Route 256
Ste D
Reynoldsburg, OH 43068
Phone (614) 335-9988

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1669369815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-5066",
            "fax_number": "614-293-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-5066",
            "fax_number": "614-293-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYENPAN",
        "first_name": "BENETTA",
        "middle_name": "V",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0039507",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRNCNP0039507",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRNCNP0039507",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "APRNCNP0039507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.