1. Home
  2. Directory
  3. Massachusetts
  4. Roxbury
  5. Nurse Practitioner
  6. NPI Profile

JUDANA SANDRA BENNETT
NPI 1073130167
Nurse Practitioner - Psychiatric/Mental Health in Roxbury, MA

Active since July 06, 2020PECOS EnrolledAccepts Medicare Assignment
45 DIMOCK ST, ROXBURY, MA 02119(617) 816-6505 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judana Sandra Bennett NPPES

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

JUDANA SANDRA BENNETT (NPI 1073130167) is an individual psychiatric/mental health provider in Roxbury, Massachusetts, licensed in Massachusetts (RN2278761) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073130167
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUDANA SANDRA BENNETT
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing AddressPo Box 191134Roxbury, MA 02119-0023 · (617) 442-8800
Phone(617) 816-6505
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2020
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1073130167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2278761
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
45 DIMOCK ST, Roxbury, MA 02119
Open in Google Maps ↗

Secondary Practice Locations 2

Location 123 Bradston StBoston, MA 02118-2703 · Phone (617) 318-6484
Location 225 James ONeill StBoston, MA 02127-4504 · Phone (617) 534-9500 · Fax (617) 419-1706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Judana Sandra Bennett 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 ID1850772021
PECOS Enrollment IDI20220719002531
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

SUSANA TEJADA D.M.D.
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DR. EMILY LAUREN KELLOGG MD
Obstetrics & Gynecology
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
SOFIA PELLON LCSW
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HODA HAMED OD
Optometrist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
ASHLEY CORREIA
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DARREN CHEW DPT
Physical Therapist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 445-0647
DR. SELENA MARIA FRANCIS DMD
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HEATHER M PINA-CENTEIO
Social Worker (Clinical)
45 DIMOCK ST
BOSTON, MA 02119
Suffolk County (617) 442-8800

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 Judana Bennett's NPI number?

The NPI number for Judana Bennett is 1073130167. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Judana Bennett located?

Judana Bennett practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 816-6505.

What is Judana Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Judana Bennett enrolled in Medicare?

Yes. Judana Bennett 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 Judana Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Judana Bennett 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.

When was this NPI record last updated?

The NPPES record for Judana Bennett was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.