Individual provider Active NPI

Jane Ellen Benson, M.D.

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1982815171
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME138422 Issued in FL
Practice address
12084 Gulf Beach Hwy
Pensacola, FL 32507-9043
Phone
(904) 864-2351
NPI assigned
May 27, 2007
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180518002302 MT Practitioner - Pediatric Medicine 8921379702 Reassigns benefits to 1 organization
I20190321002090 FL Practitioner - Pediatric Medicine 8921379702 Reassigns benefits to 1 organization
I20200210001982 SC Practitioner - Pediatric Medicine 8921379702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME138422FLMDPediatrics Physician
01082384AINMDPediatrics Physician
0101241220VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Jan 27, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 27, 2019 Accepting new patients
Billings Clinic CurrentSince Mar 20, 2019 Accepting new patients
Prisma Health Tuomey CurrentSince Jan 1, 2020 Accepting new patients
Prisma Health Tuomey CurrentSince Jan 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.