BENITA ALTIDOR (NP) – Acute Care Nurse Practitioner, NPI 1194402073

BENITA ALTIDOR (NP) is a healthcare provider. based in Chesapeake, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024187421 (VA). The NPI Number for BENITA ALTIDOR (NP) is 1194402073

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
BENITA ALTIDOR (NP)
NPI
1194402073
Phone
(561) 660-2679
Address
1984 Rockwood Dr
Enumeration Date
3 July 2023
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8335104357
Graduation Year
2023 (3 years ago)
PAC ID
3779931944
Group Practice PAC ID
9032426044
Professional Enrollment ID
I20231128003556
Address ID
VA234527523VI101XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for BENITA ALTIDOR (NP)

  • 1984 Rockwood Dr

    Chesapeake, VA 233235312

    Phone: (561) 660-2679

    Type: Location

  • 4600 MONTGOMERY RD STE 400

    CINCINNATI, OH 452122600

    Phone: (513) 873-1269

    Type: Mailing

  • 101 N LYNNHAVEN RD STE 100

    VIRGINIA BEACH, VA 234527523

    Phone: (833) 510-4357

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($219).

Total Amount

$370

General + Research + Ownership

Payments

4

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2023-11-28

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
I20231128003556INurse PractitionerVATBD

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 23323)

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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: 9032426044View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerVA

Reviews

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Frequently asked questions

What unique ID ties claims to BENITA ALTIDOR (NP)?
NPI 1194402073 is assigned to BENITA ALTIDOR (NP) under the national enumeration system.
Is BENITA ALTIDOR (NP)'s NPI currently valid?
The extract we use shows BENITA ALTIDOR (NP) as active.
What field does BENITA ALTIDOR (NP) work in?
You can think of BENITA ALTIDOR (NP) as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place BENITA ALTIDOR (NP)?
The snapshot lists Chesapeake, Virginia for BENITA ALTIDOR (NP); download NPPES for the complete set.
How can I contact BENITA ALTIDOR (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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