MRS. JESSICA LYNN BENAVIDES (RDN) – Registered Dietitian, NPI 1689772345

MRS. JESSICA LYNN BENAVIDES (RDN) is a healthcare provider. based in Beachwood, Ohio. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN. They hold a License No. LD.6086 (OH). The NPI Number for MRS. JESSICA LYNN BENAVIDES (RDN) is 1689772345

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA LYNN BENAVIDES (RDN)
NPI
1689772345
Phone
(917) 371-6587
Address
3265 HAVEL DR
Enumeration Date
20 September 2006
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2168441000
Graduation Year
2006 (20 years ago)
PAC ID
3173997350
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20230330001431
Address ID
OH441061716CL11100AVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

283 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OH

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Provider Addresses for MRS. JESSICA LYNN BENAVIDES (RDN)

  • 3265, Havel Drive, Beachwood, Cuyahoga County, Ohio, 44122, United States

    BEACHWOOD, OH 441224103

    Phone: (917) 371-6587

    Mailing address matches the actual address.

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: 2023-03-30

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
I20230330001431IRegistered Dietitian Or Nutrition ProfessionalOHTBD

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 44122)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

Can I verify MRS. JESSICA LYNN BENAVIDES (RDN) with an NPI only?
You can start verification with NPI 1689772345 for MRS. JESSICA LYNN BENAVIDES (RDN), then check state licensing separately.
Is MRS. JESSICA LYNN BENAVIDES (RDN) listed as active for patients and plans?
The listing shows MRS. JESSICA LYNN BENAVIDES (RDN) as active in the NPI system.
What is MRS. JESSICA LYNN BENAVIDES (RDN)'s primary classification?
Registered Dietitian is the headline specialty for MRS. JESSICA LYNN BENAVIDES (RDN) here. Clinical services aligned with this taxonomy classification.
Where is MRS. JESSICA LYNN BENAVIDES (RDN) based?
MRS. JESSICA LYNN BENAVIDES (RDN) is tied to Beachwood, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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