Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578850558 Individual Practitioner Female Practitioner

Ann Elizabeth Benner , PNP

Nurse Practitioner - Pediatrics • Canton, NY

Professional Overview & Biography Verified Profile Summary

Ann Benner, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Canton, NY. Practice services are available at 80 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 E Main St

Canton, NY 136171450

Telephone 3152615615
Fax 3152617183
Associated Practice Facility / Clinic
🏢 Canton Potsdam Hospital Facility NPI 1770703522

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Canton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Canton, NY (1823 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-25
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NY 382969

Definition to come...

Registered Nurse - School

NUCC Taxonomy Code: 163WS0200X

State License NY 22570374

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NY 22570374

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1285078469

Doctor of Medicine (M.D.)

Janet Lomastro

Registered Nurse - Lactation Consultant

NPI 1851798268
NPI 1902845621

Doctor of Medicine (M.D.)

NPI 1942333745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 25, 2025

Registered at 80 E MAIN ST, CANTON, NY 136171450 (Tel: 3152615615)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2025

Registered Nurse (License #22570374 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2024

Registered Nurse (License #22570374 in NY)

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as ANN BENNER, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Nurse Practitioner (License #382969 in NY)

📍
Updated Practice Location June 04, 2019

Registered at 80 EAST MAIN ST, CANTON PEDIATRICS, CANTON, NY 13617 (Tel: 3152615615)

📍
Updated Business Mailing Address June 04, 2019

Registered at 50 LEROY ST, POTSDAM, NY 136761799 (Tel: 3152653300)

👤
Provider Name / Credentials Updated June 04, 2019

Recorded as ANN PETROCCIONE, PNP

NPI Profile Active June 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2011

Registered at 29 LEROY STREET, POTSDAM, NY 136761798 (Tel: 3152652000)

📍
Updated Business Mailing Address June 29, 2011

Registered at 29 LEROY STREET, POTSDAM, NY 136761798 (Tel: 3152652000)

👤
Provider Name / Credentials Updated June 29, 2011

Recorded as ANN PETROCCIONE, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2011

Registered Nurse (License #22570374 in NY)

🟢
Initial NPI Registration & Enumeration June 29, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578850558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2011
Last Update: November 25, 2025
Sole Proprietor: No

Mailing Address

50 Leroy St

Potsdam, NY 136761799

Phone: 3152653300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.