Individual provider Active NPI

Charisse Benitez, APRN, FNP-C

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1710644943
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059318 Issued in TX
Practice address
3115 Guerra Dr
Laredo, TX 78045-8888
Phone
(956) 206-6114
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1059318 TX Primary

Addresses

Primary practice location

3115 Guerra Dr
Laredo, TX 78045-8888

Mailing address

3115 Guerra Dr
Laredo, TX 78045-8888
Phone (956) 206-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230504000872 TX Practitioner - Nurse Practitioner 7810352408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7215 McPherson Rd
Laredo, TX 78041-6554
Phone (956) 608-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1059318TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince Mar 6, 2023 Accepting new patients
South Texas Physician Partners PLLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

2412 Jacaman Rd
Ste 103
Laredo, TX 78041
Phone (956) 726-0647

904 Corpus Christi St
Laredo, TX 78040
Phone (956) 725-0300

6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200

7215 McPherson Rd
Laredo, TX 78041
Phone (956) 608-4500

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

Interoperability endpoints

  • Direct secure messaging: charisse.benitez@415054778073092.direct.elationemr.com
  • Direct secure messaging: charisse.benitez.1@33464.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1710644943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 GUERRA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458888",
            "telephone_number": "956-206-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 GUERRA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458888",
            "telephone_number": "956-206-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "CHARISSE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.