AMY ROSE BENENSON MSPAS, PA-C
NPI 1427788009
Physician Assistant - Medical in Willimantic, CT
About Amy Rose Benenson Mspas, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY ROSE BENENSON MSPAS, PA-C (NPI 1427788009) is an individual medical provider in Willimantic, Connecticut, licensed in Connecticut (5717) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in North Stonington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Rose Benenson Mspas, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
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 Amy Benenson's NPI number?
The NPI number for Amy Benenson is 1427788009. It was assigned to this individual provider in the NPPES registry on June 15, 2022.
Where is Amy Benenson located?
Amy Benenson practices at 289 Windham Rd, Willimantic, CT 06226. The listed phone number is (860) 343-0302.
What is Amy Benenson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Amy Benenson enrolled in Medicare?
Yes. Amy Benenson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amy Benenson was last updated on January 4, 2024. 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.
# Amy Rose Benenson, MSPAS, PA-C · NPI 1427788009
Medical physician in Willimantic, Connecticut. Individual provider, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1427788009 (Entity type: Individual)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5717 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 289 WINDHAM RD, Willimantic, CT 06226-3528
- **Phone:** (860) 343-0302
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 4, 2024
- **Other identifiers:** Medicaid PA01468 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1427788009) · Data from the CMS NPPES public registry.