Individual provider Active NPI

Jennifer Marie Benally, PMHNP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1720513682
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55167 Issued in ID
Practice address
794 Eastland Dr
Twin Falls, ID 83301-6856
Phone
(208) 734-3312
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 55167 ID
Family Nurse Practitioner 363LF0000X 55167 ID Primary

Addresses

Primary practice location

794 Eastland Dr
Twin Falls, ID 83301-6856

Mailing address

418 Madison St
Twin Falls, ID 83301-4721
Phone (208) 358-6917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200715003635 ID Practitioner - Nurse Practitioner 8426485228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Connections LLCGroup PAC ID 3971822313, 6 clinicians

Practice addresses (Care Compare)

1373 Fillmore St
Twin Falls, ID 83301-3392
Phone 20873799991111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55167IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Positive Connections Plus, LLC Nurse Practitioner Current Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation CurrentSince Jun 17, 2025 Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Positive Connections Plus, LLC CurrentSince Apr 9, 2020 Accepting new patients
Family Health Services Corporation CurrentSince Jun 17, 2025 Accepting new patients

Locations

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

1373 Fillmore St
Twin Falls, ID 83301
Phone (208) 320-3746

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

2647 Kimberly Rd
Ste 2
Twin Falls, ID 83301
Phone (280) 734-1281

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

Interoperability endpoints

  • Direct secure messaging: jennifer.benally.p1@direct.fhsid.nextgenshare.com

Organizations & group practices 8

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1720513682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MADISON ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014721",
            "telephone_number": "208-358-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-734-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENALLY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "55167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "55167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.