Active NPI
Casey Benchimol, CRNP
- Women's Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1790349835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP020084
- Practice address
- 1348 Bainbridge St
Philadelphia, PA 19147-1810 - Phone
- (215) 563-0652
- NPI assigned
- Apr 24, 2019
- Last updated
- Mar 18, 2021
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP020084 | PA | Primary |
Addresses
Primary practice location
1348 Bainbridge St
Philadelphia, PA 19147-1810
Mailing address
1251 N Howard St
Philadelphia, PA 19122-4612
Phone (860) 227-1546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020084 | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mazzoni Center | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1348 Bainbridge St
Philadelphia, PA 19147
Phone (215) 563-0652
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1477631307
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1790349835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 N HOWARD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191224612",
"telephone_number": "860-227-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 BAINBRIDGE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471810",
"telephone_number": "215-563-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCHIMOL",
"first_name": "CASEY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP020084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.