JUDANA SANDRA BENNETT
NPI 1073130167
Nurse Practitioner - Psychiatric/Mental Health in Roxbury, MA
About Judana Sandra Bennett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDANA SANDRA BENNETT (NPI 1073130167) is an individual psychiatric/mental health provider in Roxbury, Massachusetts, licensed in Massachusetts (RN2278761) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Judana Sandra Bennett 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.
Medicare Billing Reassignments
2Medicare enrollment records show Judana Bennett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roxbury, MA 02119
- Reassigned Medicare billing, Massachusetts enrollment
- 50 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Judana Bennett's NPI number?
The NPI number for Judana Bennett is 1073130167. It was assigned to this individual provider in the NPPES registry on July 6, 2020.
Where is Judana Bennett located?
Judana Bennett practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 816-6505.
What is Judana Bennett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Judana Bennett enrolled in Medicare?
Yes. Judana Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Judana Bennett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judana Bennett reassigns Medicare benefits to 2 organizations: Dimock Community Health Center, Inc (Roxbury, MA) and Bay Cove Human Services, Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judana Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Judana Bennett accept?
Health plans from Harvard Pilgrim Health Care list Judana Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Judana Bennett was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Judana Sandra Bennett · NPI 1073130167
Psychiatric/Mental Health physician in Roxbury, Massachusetts. Individual provider, active in the CMS NPPES registry since July 6, 2020.
## Identity
- **NPI:** 1073130167 (Entity type: Individual)
- **Enumerated:** July 6, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2278761 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 45 DIMOCK ST, Roxbury, MA 02119-1208
- **Phone:** (617) 816-6505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dimock Community Health Center, Inc (NPI 1588719488, Roxbury, MA); Bay Cove Human Services, Inc (NPI 1386702264, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073130167) · Data from the CMS NPPES public registry.