BENEDETTE EYIUCHE IBENEGBU NURSE PRACTITIONER
NPI 1205244167
Nurse Practitioner - Family in Staten Island, NY

Q: What is Benedette Ibenegbu's NPI number?

The NPI number for Benedette Ibenegbu is 1205244167. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Q: What is Benedette Ibenegbu's specialty?

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

Active since July 23, 2014PECOS Enrolled

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 556-1708 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benedette Eyiuche Ibenegbu Nurse Practitioner NPPES

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

BENEDETTE EYIUCHE IBENEGBU NURSE PRACTITIONER (NPI 1205244167) is an individual family provider in Staten Island, New York, licensed in New York (F337167-1) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205244167

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBENEDETTE EYIUCHE IBENEGBUCredential: NURSE PRACTITIONER

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address128 Blackford AveStaten Island, NY 10302-1617 · (718) 556-1708

Phone(718) 556-1708

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 23, 2014

✔ NPI 1205244167 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 NY · F337167-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 526977-1 (NY)

475 SEAVIEW AVE, Staten Island, NY 10305

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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)

Benedette Eyiuche Ibenegbu Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961815709

PECOS Enrollment IDI20210524002261

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

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.

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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)