BENITA ALTIDOR NP-APRN
NPI 1194402073
Nurse Practitioner - Gerontology in Virginia Beach, VA

Q: What is Benita Altidor's NPI number?

The NPI number for Benita Altidor is 1194402073. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Benita Altidor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Benita Altidor was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 03, 2023PECOS EnrolledAccepts Medicare Assignment

101 N LYNNHAVEN RD STE 100, VIRGINIA BEACH, VA 23452(833) 510-4357 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Apr 8, 2024, Nov 10, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Benita Altidor Np-aprn NPPES

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

BENITA ALTIDOR NP-APRN (NPI 1194402073) is an individual gerontology provider in Virginia Beach, Virginia, licensed in Virginia (0024187421) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194402073

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameBENITA ALTIDORCredential: NP-APRN

Location Address101 N LYNNHAVEN RD STE 100Virginia Beach, VA 23452-7523

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600

Phone(833) 510-4357

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 3, 2023

Last NPPES UpdateJune 1, 20264 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1194402073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in VA · 0024187421

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001308308 (VA)

101 N LYNNHAVEN RD STE 100, Virginia Beach, VA 23452

Open in Google Maps ↗

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

Benita Altidor Np-aprn 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 ID3779931944

PECOS Enrollment IDI20231128003556

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

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.

23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 16

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

STEPHANIE M GREEN LPC

Counselor