1. Home
  2. Directory
  3. Indiana
  4. Plymouth
  5. Nurse Practitioner
  6. NPI Profile

TERESA BENEFIT NP
NPI 1215380357
Nurse Practitioner - Psychiatric/Mental Health in Plymouth, IN

Active since July 13, 2016PECOS EnrolledAccepts Medicare Assignment
1800 N OAK DR, PLYMOUTH, IN 46563(574) 936-3784(574) 935-9076 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Jul 13, 2016 (2 updates tracked since 2016).

About Teresa Benefit Np NPPES

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

TERESA BENEFIT NP (NPI 1215380357) is an individual psychiatric/mental health provider in Plymouth, Indiana, licensed in Indiana (71006330A) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215380357
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTERESA BENEFITCredential: NP
Location Address1800 N OAK DRPlymouth, IN 46563-3406
Mailing Address1800 N Oak DrPlymouth, IN 46563-3406 · (574) 936-3784 · Fax (574) 935-9076
Phone(574) 936-3784
Fax(574) 935-9076
Sole ProprietorYes
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2016
Enumeration DateJuly 13, 2016
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1215380357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71006330A
1800 N OAK DR, Plymouth, IN 46563
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13500 Franciscan WayMichigan City, IN 46360-0021 · Phone (219) 878-8380
Location 29120 Connecticut St, AMerrillville, IN 46410-7014 · Phone (219) 793-1233 · Fax (219) 793-1244

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Teresa Benefit Np 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 ID3577843481
PECOS Enrollment IDI20161212001965
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
195 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services40 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 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.

Other Providers at the Same Location NPPES 2

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

SOUTH BEND PSYCHIATRY LLC
Psychiatry & Neurology (Psychiatry)
1800 N OAK DR
PLYMOUTH, IN 46563
Marshall County (574) 303-5375
HHC INDIANA INC.
Psychiatric Hospital
1800 N OAK DR
PLYMOUTH, IN 46563
Marshall County (574) 936-3784

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 Teresa Benefit's NPI number?

The NPI number for Teresa Benefit is 1215380357. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Teresa Benefit located?

Teresa Benefit practices at 1800 N Oak Dr, Plymouth, IN 46563. The listed phone number is (574) 936-3784.

What is Teresa Benefit's specialty?

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

Is Teresa Benefit enrolled in Medicare?

Yes. Teresa Benefit 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 Teresa Benefit accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Teresa Benefit 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.

Is Teresa Benefit affiliated with any hospitals?

According to CMS data, Teresa Benefit is affiliated with Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Teresa Benefit was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.