Active NPI
Jane Ellen Benson, M.D.
- Pediatrics Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME138422
- Practice address
- 12084 Gulf Beach Hwy
Pensacola, FL 32507-9043 - Phone
- (904) 864-2351
- NPI assigned
- May 27, 2007
- Last updated
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01082384A | IN | |
| Pediatrics Physician | 208000000X | ME138422 | FL | Primary |
| General Practice Physician | 208D00000X | 0101241220 | VA |
Addresses
Primary practice location
12084 Gulf Beach Hwy
Pensacola, FL 32507-9043
Mailing address
12084 Gulf Beach Hwy
Pensacola, FL 32507-9043
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbenson343365@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138422 | FL | MD | Pediatrics Physician |
| 01082384A | IN | MD | Pediatrics Physician |
| 0101241220 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Prisma Health Tuomey | Current | Accepting new patients | |
| Prisma Health Tuomey | Current | Accepting new patients | |
| Southern Baptist Hospital of Florida Inc | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
Interoperability endpoints
- jbenson343365@reidhealth.direct-ci.com
Organizations & group practices 6
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
dba Prisma Health Emergency Physicans Tuomey
- Emergency Medicine Physician
- Sumter, SC
- NPI 1548625593
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Prisma Health Tuomey Acute Rehabilitation
- Rehabilitation Hospital Unit
- Sumter, SC
- NPI 1609895663
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1982815171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12084 GULF BEACH HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325079043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12084 GULF BEACH HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325079043",
"telephone_number": "904-864-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "JANE",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-27",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01082384A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME138422",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101241220",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbenson343365@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1100 Reid Pkwy",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "473741157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.