JUSTIN BENAVIDES
NPI 1659191203
Nurse Practitioner - Family in San Antonio, TX
About Justin Benavides NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN BENAVIDES (NPI 1659191203) is an individual family provider in San Antonio, Texas, licensed in Texas (1178129) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Justin Benavides 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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Benavides reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78753
- Reassigned Medicare billing, Texas enrollment
- 198 clinicians in this Medicare group
Houston, TX 77054
- Reassigned Medicare billing, Texas enrollment
- 497 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Justin Benavides's NPI number?
The NPI number for Justin Benavides is 1659191203. It was assigned to this individual provider in the NPPES registry on October 16, 2024.
Where is Justin Benavides located?
Justin Benavides practices at 14317 Potranco Rd Ste 207, San Antonio, TX 78253. The listed phone number is (726) 200-2499.
What is Justin Benavides's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Benavides enrolled in Medicare?
Yes. Justin Benavides 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 organizations bill Medicare for Justin Benavides's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Benavides reassigns Medicare benefits to 2 organizations: Total MD Physicians Group, PLLC (Austin, TX) and Privia Medical Group Gulf Coast, PLLC (Houston, TX). Each 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 Justin Benavides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Benavides accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Justin Benavides 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.
When was this NPI record last updated?
The NPPES record for Justin Benavides was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Justin Benavides · NPI 1659191203
Family physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since October 16, 2024.
## Identity
- **NPI:** 1659191203 (Entity type: Individual)
- **Enumerated:** October 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1178129 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 14317 POTRANCO RD STE 207, San Antonio, TX 78253-7126
- **Phone:** (726) 200-2499
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Total MD Physicians Group, PLLC (NPI 1982031852, Austin, TX); Privia Medical Group Gulf Coast, PLLC (NPI 1578969465, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659191203) · Data from the CMS NPPES public registry.