Individual provider Active NPI

Cayla Leigh Benjamin

  • Family Nurse Practitioner
  • Gorham, NH
National Provider Identifier
1780455659
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
071380-23 Issued in NH
Practice address
2 Broadway Ave
Gorham, NH 03581-1502
Phone
(603) 466-2741
Fax
(603) 466-5442
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 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 071380-23 NH Primary

Addresses

Primary practice location

2 Broadway Ave
Gorham, NH 03581-1502

Mailing address

2 Broadway Ave
Gorham, NH 03581-1502
Phone (603) 466-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312001379 NH Practitioner - Family Practice 6002252103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Broadway Ave
Gorham, NH 03581-1502
Phone (603) 466-2741

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coos County Family Health Services, Inc CurrentSince Jan 29, 2024 Accepting new patients
Coos County Family Health Services, Inc CurrentSince Jan 29, 2024 Accepting new patients
Coos County Family Health Services, Inc Family Past Accepting new patients

Locations

133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040

2 Broadway Ave
Gorham, NH 03581
Phone (603) 466-2741

Organizations & group practices 3

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 4

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1780455659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROADWAY AVE",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035811502",
            "telephone_number": "603-466-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROADWAY AVE",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035811502",
            "telephone_number": "603-466-2741",
            "fax_number": "603-466-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "CAYLA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "071380-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, NH

Sources for this page

Verify at the official NPI Registry.