Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abila Benazea, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619305521

Abila Benazea, NURSEPRACTITIONER is a Nurse Practitioner in West Springfield, Massachusetts. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

103 Myron St
West Springfield, MA 01089-1598
Phone: (413) 592-1980
Fax: (413) 439-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 279930 (MA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN279930 (MA)

Record details

NPI number1619305521
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 31, 2013
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address9 Vista Ave, Salem, MA 01970-1027

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Springfield