Individual provider Active NPI

Joann Benn, RN, MS, FNP-C

  • Family Nurse Practitioner
  • Mount Kisco, NY
National Provider Identifier
1689797888
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333577 Issued in NY
Practice address
400 E. Main Street
Cancer Center
Mt Kisco, NY 10549
Phone
(914) 241-1050
Fax
(914) 242-1516
NPI assigned
Apr 10, 2007
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X 500576 NY
Family Nurse Practitioner 363LF0000X 333577 NY Primary

Addresses

Primary practice location

400 E. Main Street
Cancer Center
Mt Kisco, NY 10549

Mailing address

110 S Bedford Rd
Care Mount Medical PC
Yorktown Heights, NY 10598-3211
Phone (914) 245-0918

Other identifiers 1

IdentifierTypeStateIssuer
02458120MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080509000563 NY Practitioner - Nurse Practitioner 2961581335 Reassigns benefits to 1 organization
I20221121001185 NC Practitioner - Nurse Practitioner 2961581335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
500576NYMDOncology Registered Nurse
333577NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2011 Accepting new patients
Matrix Medical Plus CurrentSince May 1, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince Oct 24, 2022 Accepting new patients
Lifesource of North Carolina CurrentSince Oct 24, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2011 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

8601 Six Forks Rd
#I
Raleigh, NC 27615

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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, 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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1689797888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "address_2": "CARE MOUNT MEDICAL PC",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983211",
            "telephone_number": "914-245-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E. MAIN STREET",
            "address_2": "CANCER CENTER",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENN",
        "first_name": "JOANN",
        "credential": "RN, MS, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NY",
            "license": "500576",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.