JENNIFER BENTON – Pediatric Nurse Practitioner, NPI 1477758696
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER BENTON
11107 Ulysses St NE
Blaine, MN 554344263
Phone: (763) 333-7725
Fax: (763) 333-7711
Type: Location
2800 Cleveland Ave N
Roseville, MN 551131126
Phone: (651) 642-1825
Type: Location
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Phone: (763) 425-1211
Type: Location
7225 University Ave NE
Fridley, MN 554323134
Phone: (763) 333-7733
Fax: (763) 333-7711
Type: Location
2800, Cleveland Avenue North, Roseville, Ramsey County, Minnesota, 55113, United States
ROSEVILLE, MN 551131126
Phone: (651) 642-1825
Type: Location
2½ Street Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 55421
Phone:
Type: Mailing
11107 ULYSSES ST NE STE 100
BLAINE, MN 554344264
Phone: (763) 333-7733
Fax: (763) 333-7711
Type: Mailing
11107 ULYSSES ST NE
BLAINE, MN 554344263
Phone: (763) 333-7725
Fax: (763) 333-7711
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: 2024-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240913000345 | I | Nurse Practitioner | MN | TBD |
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.
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 55434)
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