MICHELLE L BENNETT APRN
NPI 1013503630
Nurse Practitioner - Family in Rockford, IL

Q: What is Michelle Bennett's NPI number?

The NPI number for Michelle Bennett is 1013503630. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Q: What is Michelle Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Bennett was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 17, 2020PECOS EnrolledAccepts Medicare Assignment

3505 N BELL SCHOOL RD, ROCKFORD, IL 61114(779) 696-0300(815) 639-9433 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2021, Mar 1, 2021, Dec 17, 2020 (3 updates tracked since 2020).

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About Michelle L Bennett Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE L BENNETT APRN (NPI 1013503630) is an individual family provider in Rockford, Illinois, licensed in Illinois (209-022307) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013503630

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE L BENNETTCredential: APRN

Location Address3505 N BELL SCHOOL RDRockford, IL 61114-6624

Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150 · Fax (779) 696-7342

Phone(779) 696-0300

Fax(815) 639-9433

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 17, 2020

Last NPPES UpdateApril 19, 20213 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1013503630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209-022307

3505 N BELL SCHOOL RD, Rockford, IL 61114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L Bennett Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618381765

PECOS Enrollment IDI20210201000769

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Michelle Bennett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians

0.5 mi

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Signify Health Medical Associates, PLLC

777 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Illinois enrollment
712 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140239

Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYNA LUCAS APRN

Nurse Practitioner (Gerontology)