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ANDREA BENAVIDEZ PMHNP-BC, FNP-C
NPI 1154807725
Nurse Practitioner - Family in Albuquerque, NM

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment
8417 WASHINGTON PL NE STE A, ALBUQUERQUE, NM 87113(505) 273-9453(505) 503-1619 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Apr 12, 2023, Mar 2, 2022 and 2 more (5 updates tracked since 2018).

About Andrea Benavidez Pmhnp-bc, Fnp-c NPPES

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

ANDREA BENAVIDEZ PMHNP-BC, FNP-C (NPI 1154807725) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (53299) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154807725
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA BENAVIDEZCredential: PMHNP-BC, FNP-C
Location Address8417 WASHINGTON PL NE STE AAlbuquerque, NM 87113-1720
Mailing Address8417 Washington Pl Ne Ste AAlbuquerque, NM 87113-1720 · (505) 273-9453 · Fax (505) 503-1619
Phone(505) 273-9453
Fax(505) 503-1619
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 17, 2018
Last NPPES UpdateOctober 5, 20235 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1154807725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 53299
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 53299 (NM)
8417 WASHINGTON PL NE STE A, Albuquerque, NM 87113
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Other Identifiers 1

Medicaid53801555NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Andrea Benavidez Pmhnp-bc, Fnp-c 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 ID6406106947
PECOS Enrollment IDI20180905000622
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 2

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 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.
51 services25 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87113 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 3

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

ANTONIO BRICENO PARRA NP
Nurse Practitioner (Family)
8417 WASHINGTON PL NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 273-9453
TOTAL BALANCE HEALTHCARE, LLC
Nurse Practitioner (Family)
8417 WASHINGTON PL NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 273-9453
KORI COLBATH FNP-C
Nurse Practitioner (Family)
8417 WASHINGTON PL NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 273-9453

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 Andrea Benavidez's NPI number?

The NPI number for Andrea Benavidez is 1154807725. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Andrea Benavidez located?

Andrea Benavidez practices at 8417 Washington Pl NE Ste A, Albuquerque, NM 87113. The listed phone number is (505) 273-9453.

What is Andrea Benavidez's specialty?

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

Is Andrea Benavidez enrolled in Medicare?

Yes. Andrea Benavidez 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 Andrea Benavidez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Andrea Benavidez 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 Andrea Benavidez was last updated on October 5, 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.