Fred Benjamin Iv, CRNA

ActiveIndividual ProviderRegistered Nurse
NPI issued: August 16, 2005

Quick Facts

NPI Number
1063404036
TypeIndividual
StatusActive
SpecialtyRegistered Nurse
Taxonomy163W00000X — Registered Nurse
Phone
(731) 664-1717
StateTN

NPI Validation Status: Verified

Valid 10-digit NPI number (1063404036)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 16, 2005)
Data source: CMS NPPES

Provider Overview

FRED BENJAMIN IV, CRNA is a Registered Nurse provider based in Jackson, TN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063404036
Provider TypeIndividual Provider
GenderMale
CredentialCRNA
StatusActive
Enumeration DateAugust 16, 2005

Practice Location

CityJackson
StateTN
ZIP Code38305-2245
Phone(731) 664-1717

Specialties & Licenses

★ Primary
SpecialtyRegistered Nurse
Taxonomy Code163W00000X
License StateTN

Mailing Address

CityJackson
StateTN
ZIP Code38305-2245
Phone(731) 664-1717
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1063404036 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063404036for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063404036 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Registered Nurse

Registered Nurses (RNs) evaluate patient health, administer medications and treatments, coordinate clinical care plans, and educate patients and families about health conditions.

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184,414
Registered Nurse Providers in the US

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John Turner, CRNA

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Wendy Thomas, CRNA

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Other Healthcare Providers in Jackson

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Specialty not listed

Geraldine O'shea, DO

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Patricia Obi, MD

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Gregory Mitchell, MD

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Toby Hampton, M.D

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University Ophthalmology Associates

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People Also Ask

What is Fred Benjamin Iv's NPI number?
Fred Benjamin Iv's NPI number is 1063404036, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Fred Benjamin Iv's NPI currently active?
Yes, Fred Benjamin Iv's NPI status is Active as of the latest CMS NPPES database updates.
What does Fred Benjamin Iv specialize in?
Fred Benjamin Iv specializes in Registered Nurse. The healthcare taxonomy code associated with this specialty is 163W00000X.
Where does Fred Benjamin Iv practice?
Fred Benjamin Iv practices in Jackson, TN 38305-2245.
When was Fred Benjamin Iv's NPI issued?
Fred Benjamin Iv's NPI was issued on August 16, 2005.
What is Fred Benjamin Iv's provider type?
Fred Benjamin Iv is registered as an Individual Provider under CMS NPI Type 1.