Individual provider Active NPI

Lea Marie Benvenuti, APRN

  • Family Nurse Practitioner
  • Pleasant Point, ME
National Provider Identifier
1730480773
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211429 Issued in ME
Practice address
11 Back Road
Pleasant Point, ME 04667
Phone
(207) 853-0644
Fax
(207) 853-2347
NPI assigned
Nov 8, 2010
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 CNP211429 ME Primary

Addresses

Primary practice location

11 Back Road
Pleasant Point, ME 04667

Mailing address

PO Box 351
Perry, ME 04667
Phone (207) 853-0644

Other names 1

  • Lea Marie Alberghini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, ME2 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
I20110223000917 CT Practitioner - Nurse Practitioner 5799966750 Reassigns benefits to 3 organizations
I20230612001428 ME Practitioner - Nurse Practitioner 5799966750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Passamaquoddy Tribal CouncilGroup PAC ID 0244252831, 11 clinicians

Practice addresses (Care Compare)

11 Back Rd
Pleasant Point, ME 04667-4119
Phone 2078530644290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004526CTMDSpeech-Language Pathologist
CNP211429MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Health, Inc. Family CurrentSince Nov 20, 2014 Accepting new patients
St. Vincents Urgent Care LLC CurrentSince May 29, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Passamaquoddy Tribal Council CurrentSince Apr 23, 2023 Accepting new patients
St. Vincents Urgent Care LLC CurrentSince May 29, 2016 Accepting new patients

Locations

2720 Main St
Ste 1
Bridgeport, CT 06606

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

199 Cherry St
Milford, CT 06460
Phone (203) 874-2543

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

2595 Main St
Stratford, CT 06615
Phone (203) 345-0404

3272 Main St
Stratford, CT 06614
Phone (203) 380-3910

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

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.

Hospital & facility affiliations 2

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1730480773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "04667",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BACK ROAD",
            "city": "PLEASANT POINT",
            "state": "ME",
            "postal_code": "04667",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTI",
        "first_name": "LEA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2024-01-05",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "ALBERGHINI",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Point, ME

Sources for this page

Verify at the official NPI Registry.