Individual provider Active NPI

Jennifer Lynn Benedetto

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1780312827
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350047 Issued in NY
Practice address
1850 E Ridge Rd
Rochester, NY 14622-2448
Phone
(585) 342-3870
NPI assigned
Aug 8, 2022
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 350047 NY
Family Nurse Practitioner 363LF0000X 350047 NY Primary

Addresses

Primary practice location

1850 E Ridge Rd
Rochester, NY 14622-2448

Mailing address

1850 E Ridge Rd
Rochester, NY 14622-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230206002509 NY Practitioner - Nurse Practitioner 6800268509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Internal Medicine Group LLPGroup PAC ID 4587665294, 6 clinicians

Practice addresses (Care Compare)

1850 E Ridge Rd
Suite 1
Rochester, NY 14622-2475
Phone (585) 342-3870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Internal Medicine Group, LLP CurrentSince Sep 30, 2022 Accepting new patients

Locations

1850 E Ridge Rd
Ste 1
Rochester, NY 14622
Phone (585) 342-3870

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.benedetto.1@10568.direct.athenahealth.com

Organizations & group practices 1

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1780312827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.