ABILA BENAZEA (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619305521

ABILA BENAZEA (NURSE PRACTITIONER) is a healthcare provider. based in Salem, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 279930 (MA). The NPI Number for ABILA BENAZEA (NURSE PRACTITIONER) is 1619305521

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ABILA BENAZEA (NURSE PRACTITIONER)
NPI
1619305521
Phone
(781) 521-0302
Address
9 VISTA AVE
Enumeration Date
31 October 2013
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815210302
Graduation Year
2022 (4 years ago)
PAC ID
5193955888
Professional Enrollment ID
I20140225000473
Address ID
MA019702733SA84XXXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for ABILA BENAZEA (NURSE PRACTITIONER)

  • 9 VISTA AVE

    SALEM, MA 019701027

    Phone: (781) 521-0302

    Type: Mailing

  • 103 MYRON ST

    WEST SPRINGFIELD, MA 010891598

    Phone: (413) 592-1980

    Fax: (413) 439-0100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($111).

Total Amount

$149

General + Research + Ownership

Payments

3

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140225000473INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01970)

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Reviews

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Frequently asked questions

Is there an official ID for ABILA BENAZEA (NURSE PRACTITIONER) in U.S. healthcare records?
The official identifier for ABILA BENAZEA (NURSE PRACTITIONER) is NPI 1619305521.
Is there an active status for ABILA BENAZEA (NURSE PRACTITIONER)?
For scheduling context, ABILA BENAZEA (NURSE PRACTITIONER) is shown as active in the registry.
What area of care is associated with ABILA BENAZEA (NURSE PRACTITIONER)?
ABILA BENAZEA (NURSE PRACTITIONER)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ABILA BENAZEA (NURSE PRACTITIONER) associated with Salem?
Public fields place ABILA BENAZEA (NURSE PRACTITIONER) around Salem, Massachusetts. Always confirm the exact site before visiting.
Does ABILA BENAZEA (NURSE PRACTITIONER) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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