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MEGAN NICOLE BENEFIELD AGACNP-BC
NPI 1023579364
Nurse Practitioner - Acute Care in Atlanta, GA

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FY RD NE STE 1040, ATLANTA, GA 30342(770) 292-3490 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2023, Aug 3, 2021, Jan 20, 2021 (3 updates tracked since 2021).

About Megan Nicole Benefield Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN NICOLE BENEFIELD AGACNP-BC (NPI 1023579364) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN275146) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023579364
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMEGAN NICOLE BENEFIELDCredential: AGACNP-BC
Location Address980 JOHNSON FY RD NE STE 1040Atlanta, GA 30342-1609
Mailing Address3713 Orchard StPeachtree Corners, GA 30092-2387 · (256) 468-3460
Phone(770) 292-3490
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 28, 2019
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1023579364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN275146
980 JOHNSON FY RD NE STE 1040, Atlanta, GA 30342
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Nicole Benefield Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870996234
PECOS Enrollment IDI20210722000664
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN WRAY
Physician Assistant
980 JOHNSON FY RD NE STE 1040
ATLANTA, GA 30342
Fulton County (770) 292-3490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Benefield's NPI number?

The NPI number for Megan Benefield is 1023579364. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Megan Benefield located?

Megan Benefield practices at 980 Johnson Fy Rd NE Ste 1040, Atlanta, GA 30342. The listed phone number is (770) 292-3490.

What is Megan Benefield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Megan Benefield enrolled in Medicare?

Yes. Megan Benefield is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Megan Benefield accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Megan Benefield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megan Benefield affiliated with any hospitals?

According to CMS data, Megan Benefield is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Megan Benefield was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.