JACOB ALAN BENNETT
NPI 1083499297
Nurse Practitioner - Critical Care Medicine in Charleston, SC

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
25 COURTENAY DR STE 4200, CHARLESTON, SC 29425(843) 876-5744 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, Aug 28, 2023 (2 updates tracked since 2023).

About Jacob Alan Bennett NPPES

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

JACOB ALAN BENNETT (NPI 1083499297) is an individual critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (28580) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083499297
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameJACOB ALAN BENNETT
Location Address25 COURTENAY DR STE 4200Charleston, SC 29425-4001
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 28, 2023
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1083499297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in SC · 28580
25 COURTENAY DR STE 4200, Charleston, SC 29425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Alan 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.

PECOS PAC ID2769821743
PECOS Enrollment IDI20240424000468
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.

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Jacob Bennett's NPI number?

The NPI number for Jacob Bennett is 1083499297. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Jacob Bennett located?

Jacob Bennett practices at 25 Courtenay Dr Ste 4200, Charleston, SC 29425. The listed phone number is (843) 876-5744.

What is Jacob Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Jacob Bennett enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Bennett accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and UnitedHealthcare list Jacob 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.

Is Jacob Bennett affiliated with any hospitals?

According to CMS data, Jacob Bennett is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Bennett was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.