MRS. MARY KATHERINE BENAVIDEZ CPNP-PC
NPI 1487545554
Nurse Practitioner - Pediatrics in Saltillo, MS

Q: What is Mary Benavidez's NPI number?

The NPI number for Mary Benavidez is 1487545554. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Q: What is Mary Benavidez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Benavidez was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 15, 2025PECOS Enrolled

119 CITY MARKET DR, SALTILLO, MS 38866(662) 534-0898(662) 534-8905 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Mary Katherine Benavidez Cpnp-pc NPPES

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

MRS. MARY KATHERINE BENAVIDEZ CPNP-PC (NPI 1487545554) is an individual pediatrics provider in Saltillo, Mississippi, licensed in Mississippi (907261) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Albany, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487545554

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. MARY KATHERINE BENAVIDEZCredential: CPNP-PC

Location Address119 CITY MARKET DRSaltillo, MS 38866-7002

Mailing Address1403 Van Buren AveTupelo, MS 38801-5723 · (662) 266-4553

Phone(662) 534-0898

Fax(662) 534-8905

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 15, 2025

Last NPPES UpdateJanuary 8, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1487545554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in MS · 907261

119 CITY MARKET DR, Saltillo, MS 38866

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Secondary Practice Location 1

Location 1118 Fairfield DrNew Albany, MS 38652-3107 · Phone (662) 534-0898 · Fax (662) 534-8905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Katherine Benavidez Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032695556

PECOS Enrollment IDI20260114002092

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38866 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 8

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

MRS. KATRINA WATKINS FRIELDS FNP-C

Nurse Practitioner (Family)