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LISA MARIE BENEDETTO FNP
NPI 1033659289
Nurse Practitioner - Family in Staten Island, NY

Active since March 06, 2017PECOS Enrolled
96 VULCAN ST, STATEN ISLAND, NY 10305(347) 870-7715 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Marie Benedetto Fnp NPPES

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

LISA MARIE BENEDETTO FNP (NPI 1033659289) is an individual family provider in Staten Island, New York, licensed in New York (341510) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033659289
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE BENEDETTOCredential: FNP
Location Address96 VULCAN STStaten Island, NY 10305-4221
Mailing Address96 Vulcan StStaten Island, NY 10305-4221 · (347) 870-7715
Phone(347) 870-7715
Sole ProprietorNo
Enumeration DateMarch 6, 2017
✔ NPI 1033659289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 341510
96 VULCAN ST, Staten Island, NY 10305
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Benedetto Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Benedetto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wound Care United LLC
652 mi
Cardiovascular Disease
8442 DIXIE HWY
Louisville, KY 40258
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1306525811 (954) 908-3511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Lisa Benedetto's NPI number?

The NPI number for Lisa Benedetto is 1033659289. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Lisa Benedetto located?

Lisa Benedetto practices at 96 Vulcan St, Staten Island, NY 10305. The listed phone number is (347) 870-7715.

What is Lisa Benedetto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Benedetto enrolled in Medicare?

Yes. Lisa Benedetto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Benedetto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Benedetto reassigns Medicare benefits to Wound Care United LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Benedetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Benedetto was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.