Christina Benoit, FNP-BC
Individual provider Active NPI Nurse Practitioner · Waltham, MA
NPI 1780428896 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1780428896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN2273123 (MA)
- Practice address
- 52 Second Ave Ste 4000
Waltham, MA 02451-1156 - Phone
- (781) 504-9912
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Suburban Massachusetts Inc
Mass General Brigham Community Physicians Inc
Practice addresses (Care Compare)
133 Littleton Rd
Suite 202
Westford, MA 01886-3198
Phone (978) 577-1946
Hospital & facility affiliations
- Emerson Hospital -
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250324002121 | MA | Practitioner - Nurse Practitioner | 0244752897 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2273123 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current |
Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current |
Accepting new patients |
Locations
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
133 Littleton Rd
Ste 202
Westford, MA 01886
Phone (978) 577-1946
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- benoit.christina.mgbcp@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2273123 | MA | |
| Nurse Practitioner | 363L00000X | RN2273123 | MA | Yes |
Addresses
Primary practice location
52 Second Ave Ste 4000
Waltham, MA 02451-1156
Mailing address
PO Box 54
Woburn, MA 01801-0054
Phone (781) 504-9912
Other names
- Christina Altavesta
Other providers in Waltham, MA
- Peter John Bellefeuille Jr.
- Kaitlin Belowich
- Neil Beneck
- Robert Mitchel Bengston
- Amy M Benoit
- Cassandra Berger
- Merle Jay Berger
- Alexandra Berkowitz
- Sara Berkowitz
- Susan Bernat
All providers in Waltham, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.