EILEEN BENEDICT CNP
NPI 1104699685
Nurse Practitioner - Family in Elkhart, IN

Q: What is Eileen Benedict's NPI number?

The NPI number for Eileen Benedict is 1104699685. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Q: What is Eileen Benedict's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eileen Benedict was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since November 06, 2023PECOS Enrolled

111 N NAPPANEE ST, ELKHART, IN 46514(574) 522-0265(574) 406-0025 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Nov 6, 2023 (2 updates tracked since 2023).

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About Eileen Benedict Cnp NPPES

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

EILEEN BENEDICT CNP (NPI 1104699685) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71017859A) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104699685

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEILEEN BENEDICTCredential: CNP

Location Address111 N NAPPANEE STElkhart, IN 46514-1957

Mailing Address1205 W Lill Ave Apt 1Chicago, IL 60614-3595 · (440) 523-9585

Phone(574) 522-0265

Fax(574) 406-0025

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 6, 2023

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1104699685 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 IN · 71017859A

111 N NAPPANEE ST, Elkhart, IN 46514

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen Benedict Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941779110

PECOS Enrollment IDI20260518000102

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 46514 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 8

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

MR. ERIC DANIEL ROBERTS PA-C

Physician Assistant