Active NPI
Martine Benoit
- Family Nurse Practitioner
- Media, PA
National Provider Identifier
1821758897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP025148
- Practice address
- 600 N Jackson St
Media, PA 19063-2561 - Phone
- (267) 257-4739
- NPI assigned
- Dec 17, 2021
- Last updated
- May 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NA | PA | |
| Family Nurse Practitioner | 363LF0000X | SP025148 | PA | Primary |
Addresses
Primary practice location
600 N Jackson St
Media, PA 19063-2561
Mailing address
600 N Jackson St
Media, PA 19063-2561
Phone (267) 257-4739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belle Telehealth | Family | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- martine.benoit.1@24969.direct.athenahealth.com
- ms_mbenoi10@landmarkhealth-direct.org
Organizations & group practices 4
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 Nurse Practitioner
- Wilmington, DE
- NPI 1306619812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1821758897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N JACKSON ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632561",
"telephone_number": "267-257-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N JACKSON ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632561",
"telephone_number": "267-257-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOIT",
"first_name": "MARTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "NA",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP025148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.