Brittni M Benda, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cedar Rapids, IA
NPI 1821333774 · NPPES record last updated May 16, 2019
Key facts
- NPI
- 1821333774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- G128082 (IA)
- Practice address
- 1026 A Ave NE
Cedar Rapids, IA 52402-5036 - Phone
- (319) 369-5970
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20160811000133 | IA | Practitioner - Nurse Practitioner | 4880988070 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G128082 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current |
Accepting new patients | |
| St. Luke'S Methodist Hospital | Current |
Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
855 A Ave NE
Ste 300
Cedar Rapids, IA 52402
Phone (319) 368-9300
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
Interoperability endpoints
- bhefel421146@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G128082 | IA | Yes |
Addresses
Primary practice location
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Mailing address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-5970
Other providers in Cedar Rapids, IA
- Adam Bellendier
- Lary Sheldon Belman
- Stephanie Nicole Beltramea
- Shonda Kay Beltz
- Scott C Bemus
- Silvia Benitez
- Benjamin S. Horton DDS PC
- Amber Bennett
- Lindsey Bennett
- Rachele Bennett
All providers in Cedar Rapids, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2019. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.