Individual provider Active NPI

Jamie L Benigno, APRN, FNP-BC

  • Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1689354433
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11026268 Issued in FL
Practice address
19580 Cochran Blvd
Port Charlotte, FL 33948-2087
Phone
(941) 290-5491
Fax
(941) 391-6710
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11026268 FL Primary

Addresses

Primary practice location

19580 Cochran Blvd
Port Charlotte, FL 33948-2087

Mailing address

19580 Cochran Blvd
Port Charlotte, FL 33948-2087
Phone (941) 290-5491

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131001881 FL Practitioner - Nurse Practitioner 8820441348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians
Three Oaks Family Medicine LLCGroup PAC ID 7719397207, 7 clinicians

Practice addresses (Care Compare)

7101 US Hwy 19 N
Pinellas Park, FL 33781-4607
Phone (727) 201-8585

825 E Cowboy Way
Units 102 and 103
Labelle, FL 33935-4491
Phone (239) 560-2657

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11026268FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Feb 6, 2025 Accepting new patients
Anthony J. Williamitis M D Inc. Family Medicine CurrentSince Nov 26, 2023 Accepting new patients
Unique Management Group PastSince Feb 6, 2025 Accepting new patients

Locations

9200 Bonita Beach Rd SE
Ste 105
Bonita Springs, FL 34135
Phone (239) 947-6808

3900 Broadway
Ste A1
Fort Myers, FL 33901
Phone (239) 288-5413

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

19580 Cochran Blvd
Port Charlotte, FL 33948
Phone (941) 290-5491

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16160/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1689354433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19580 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482087",
            "telephone_number": "941-290-5491",
            "fax_number": "941-391-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19580 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482087",
            "telephone_number": "941-290-5491",
            "fax_number": "941-391-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIGNO",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11026268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.