LEA MARIE BENVENUTI (APRN) – Family Nurse Practitioner, NPI 1730480773

LEA MARIE BENVENUTI (APRN) is a healthcare provider. based in Waterbury, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. CNP211429 (ME). The NPI Number for LEA MARIE BENVENUTI (APRN) is 1730480773

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LEA MARIE BENVENUTI (APRN)
NPI
1730480773
Phone
(203) 756-8021
Address
80 PHOENIX AVE
Enumeration Date
8 November 2010
Last Update Date
5 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078530644290
Graduation Year
2010 (16 years ago)
PAC ID
5799966750
Group Practice PAC ID
0244252831
Professional Enrollment ID
I20230612001428
Address ID
ME046674119PL11XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for LEA MARIE BENVENUTI (APRN)

  • 80 PHOENIX AVE

    SUITE 201

    WATERBURY, CT 067021418

    Phone: (203) 756-8021

    Fax: (203) 596-9038

    Type: Mailing

  • 11 BACK ROAD

    PLEASANT POINT, ME 04667

    Phone: (207) 853-0644

    Fax: (207) 853-2347

    Type: Location

  • PO BOX 351

    PERRY, ME 04667

    Phone: (207) 853-0644

    Fax: (207) 853-2347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110223000917INurse PractitionerCTTBD
I20230612001428INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample3622$0
View full utilization report →

Insurance plans in this area (ZIP 06702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244252831View full group profile
NameSpecialtyState
-ME
Nurse PractitionerME
Emergency Medicine, Family PracticeME
-IL
Family PracticeMA
Internal MedicineMA
Nurse PractitionerME
Nurse PractitionerOK
Mental Health CounselorME

Reviews

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Frequently asked questions

What number should I use to identify LEA MARIE BENVENUTI (APRN) for billing?
Administrative and clinical systems typically use NPI 1730480773 for LEA MARIE BENVENUTI (APRN).
Quick check: is LEA MARIE BENVENUTI (APRN) active?
Public NPPES data shows LEA MARIE BENVENUTI (APRN) with an active NPI status right now.
What type of care does LEA MARIE BENVENUTI (APRN) provide?
LEA MARIE BENVENUTI (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LEA MARIE BENVENUTI (APRN)?
LEA MARIE BENVENUTI (APRN) shows a connection to Waterbury, Connecticut in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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