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MARY E BENALLY NP
NPI 1417755133
Nurse Practitioner - Family in Saint George, UT

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment
2825 E MALL DR, SAINT GEORGE, UT 84790(435) 673-6131(435) 673-8557 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary E Benally Np NPPES

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

MARY E BENALLY NP (NPI 1417755133) is an individual family provider in Saint George, Utah, licensed in Utah (12063601-4405) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417755133
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY E BENALLYCredential: NP
Location Address2825 E MALL DRSaint George, UT 84790-1954
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(435) 673-6131
Fax(435) 673-8557
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2025
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1417755133 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 UT · 12063601-4405
2825 E MALL DR, Saint George, UT 84790
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary E Benally 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 ID3476075433
PECOS Enrollment IDI20250319001674
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Benally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Revere Health PC
243 mi
Multi-Specialty
1055 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 414 clinicians in this Medicare group
NPI 1093764805 (801) 429-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

NICHOLAS PAUL WITTWER P.A.
Physician Assistant
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 251-0400
MALCOLM T MAXWELL PA-C
Physician Assistant
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 628-9393
DR. MATTHEW IRVIN D.O.
Physical Medicine & Rehabilitation
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (801) 354-8225
JEFFREY BLAINE WINGER FNP
Nurse Practitioner (Family)
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 673-6131
ANDREW KENNETH ENCE M.D.
Plastic Surgery (Surgery of the Hand)
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 628-9393
DR. JUSTIN SEVY D.O.
Family Medicine
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 673-6131
JAMISON C JONES MD
Internal Medicine (Cardiovascular Disease)
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 215-0400
GREGORY LEE WINGER M.D.
Family Medicine
2825 E MALL DR
ST GEORGE, UT 84790
Washington County (435) 673-6131

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 Mary Benally's NPI number?

The NPI number for Mary Benally is 1417755133. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Mary Benally located?

Mary Benally practices at 2825 E Mall Dr, Saint George, UT 84790. The listed phone number is (435) 673-6131.

What is Mary Benally's specialty?

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

Is Mary Benally enrolled in Medicare?

Yes. Mary Benally 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.

Which organization bills Medicare for Mary Benally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Benally reassigns Medicare benefits to Revere Health PC (Provo, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Benally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Benally accept?

Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and Regence BlueCross BlueShield of Utah and 2 other insurers list Mary Benally 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 Mary Benally affiliated with any hospitals?

According to CMS data, Mary Benally is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mary Benally was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.