Active NPI
Jodie Raine Benitez, PA-C
- Physician Assistant
- Columbus, OH
National Provider Identifier
1760253397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.010413RX
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2664 - Phone
- (614) 722-2000
- NPI assigned
- Jan 11, 2024
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.010413RX | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
4065 Levitt St Ste 210
Hilliard, OH 43026-1943
Phone (347) 816-1723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.010413RX | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1760253397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4065 LEVITT ST STE 210",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261943",
"telephone_number": "347-816-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "JODIE",
"middle_name": "RAINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.010413RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.