JOSIE BENZIE – Family Medicine Physician, NPI 1730973660

JOSIE BENZIE is a healthcare provider. based in Sturgeon lake, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold a License No. 15383 (MN). The NPI Number for JOSIE BENZIE is 1730973660

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JOSIE BENZIE
NPI
1730973660
Phone
(218) 380-1125
Address
94537 ISLAND LAKE ROAD
Enumeration Date
7 April 2025
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184854491
Graduation Year
2025 (1 year ago)
PAC ID
1456859966
Group Practice PAC ID
6305758657
Professional Enrollment ID
I20250813000909
Address ID
MN557679401MO4570X61XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for JOSIE BENZIE

  • 94537 ISLAND LAKE ROAD

    STURGEON LAKE, MN 55783

    Phone: (218) 380-1125

    Type: Mailing

  • 4570 COUNTY ROAD 61

    MOOSE LAKE, MN 557679401

    Phone: (218) 485-4491

    Type: Location

  • 707 Lundorff Dr

    Sandstone, MN 550725099

    Phone: (320) 245-2250

    Type: Location

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: 2025-08-13

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
I20250813000909IPhysician AssistantMNTBD

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 55783)

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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: 6305758657View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineMN
Family PracticeMN
Family Practice, Emergency MedicineMN
Family PracticeMN
Family Practice, Emergency MedicineMN
Family PracticeMN
Family PracticeMN
Family PracticeMN
-FL
Family PracticeMN

Reviews

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Frequently asked questions

What NPI should I save for JOSIE BENZIE?
Save NPI 1730973660 if you need a stable reference for JOSIE BENZIE.
Is JOSIE BENZIE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOSIE BENZIE work in?
You can think of JOSIE BENZIE as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOSIE BENZIE?
The page summarizes Sturgeon Lake, Minnesota for JOSIE BENZIE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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