DR. JENNIFER K DIBENEDETTO PHD, APRN, FNP-C
NPI 1497532469
Nurse Practitioner - Family in Northborough, MA
About Dr. Jennifer K Dibenedetto Phd, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER K DIBENEDETTO PHD, APRN, FNP-C (NPI 1497532469) is an individual family provider in Northborough, Massachusetts, licensed in Massachusetts (RN2286172) and active in the NPI registry since September 2023. She has opted out of Medicare through April 24, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jennifer K Dibenedetto Phd, Aprn, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2026 through April 24, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Dibenedetto's NPI number?
The NPI number for Jennifer Dibenedetto is 1497532469. It was assigned to this individual provider in the NPPES registry on September 12, 2023.
Where is Jennifer Dibenedetto located?
Jennifer Dibenedetto practices at 10002A Shops Way, Northborough, MA 01532. The listed phone number is (774) 500-7334.
What is Jennifer Dibenedetto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Dibenedetto enrolled in Medicare?
No. Jennifer Dibenedetto has opted out of Medicare through April 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jennifer Dibenedetto was last updated on October 11, 2023. 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.
# Dr. Jennifer K Dibenedetto, PHD, APRN, FNP-C · NPI 1497532469
Family physician in Northborough, Massachusetts. Individual provider, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1497532469 (Entity type: Individual)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2286172 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 10002A SHOPS WAY, Northborough, MA 01532-4119
- **Phone:** (774) 500-7334
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 24, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497532469) · Data from the CMS NPPES public registry.