ETHELINDA W BENALLY — NPI 1982090601 (Licensed & Credentialed Registered Nurse, Community Health in SHIPROCK, NM)

CMS-1500 Box 24J / 33a • NPI

1982090601

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WC1500X

Licensed & Credentialed Registered Nurse, Community Health

Box 32 Service Location & ZIP+4

US HWY 491 N, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM, 87420

Official NPPES Practice Location

Practice Phone & Referral Fax

(505) 368-7405

Fax: (505) 368-7416

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1982090601 (ETHELINDA W BENALLY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1982090601` (NPI-1 Individual Practitioner)
Provider / Legal Name	ETHELINDA W BENALLY
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Community Health NUCC Code: `163WC1500X` (Registered Nurse, Community Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	US HWY 491 N, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM, 87420
Practice Telephone / Fax	Tel: (505) 368-7405 \| Fax: (505) 368-7416
Administrative Mailing Address	PO BOX 160, SHIPROCK, NM, 87420-0160
Enumeration & Last Sync	Enumerated: 2015-04-09 \| CMS Record Updated: 2015-04-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

US HWY 491 N, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM, 87420

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Plain-English Taxonomy & CMS Crosswalk (163WC1500X)

What Does Taxonomy Code 163WC1500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WC1500X translates to:
"Licensed & Credentialed Registered Nurse, Community Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Community Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ETHELINDA W BENALLY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: NM \| License: `R48677` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ETHELINDA W BENALLY (NPI #1982090601)