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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENNETT W MCALLISTER MD PA
NPI 1104154053
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Charlotte, FL

Active since December 03, 2009
4161 TAMIAMI TRL STE 304D, PORT CHARLOTTE, FL 33952(941) 625-5895(941) 625-1047 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Dec 4, 2024 (2 updates tracked since 2024).

About Bennett W Mcallister Md Pa NPPES

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

BENNETT W MCALLISTER MD PA (NPI 1104154053) is a healthcare organization registered as a mental health (including community mental health center) in Port Charlotte, Florida and active in the NPI registry since December 2009. The organization maintains 2 additional practice locations and lists Bennett William Mcallister, Owner, as its authorized official.

NPPES Registry Identity

NPI1104154053
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBENNETT W MCALLISTER MD PA
Location Address4161 TAMIAMI TRL STE 304DPort Charlotte, FL 33952-9254
Mailing AddressPo Box 512139Punta Gorda, FL 33951-2139 · (941) 625-5895 · Fax (941) 625-1047
Phone(941) 625-5895
Fax(941) 625-1047
Organization SubpartNo
Authorized OfficialBennett William McallisterOwner · (941) 625-5895
Enumeration DateDecember 3, 2009
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1104154053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME104685 (FL)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4161 TAMIAMI TRL STE 304D, Port Charlotte, FL 33952
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Other Names 1

Other NameLighthouse Psychiatry

Secondary Practice Locations 2

Location 1900 SW Pine Island Rd Ste 207Cape Coral, FL 33991-1982 · Phone (941) 625-5895 · Fax (941) 625-1047
Location 27317 Merchant Ct Ste ALakewood Ranch, FL 34240-8464 · Phone (941) 625-5895 · Fax (941) 625-1047

Other Identifiers 2

Medicaid001284200FL
Medicaid114514100FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennett W Mcallister Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Bennett W Mcallister MD PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Bennett Mcallister, MD
Psychiatry
NPI 1275704157
4161 TAMIAMI TRL STE 304D
Port Charlotte, FL 33952
(941) 625-5895
✔ PECOS✔ Accepts MedicareSame address
Randy Cisne, LMHC
Mental Health Counselor
NPI 1679638365
4161 TAMIAMI TRL STE 304D
Port Charlotte, FL 33952
(941) 625-5895
✔ PECOSSame address
Candis Jackson, LMHC
Mental Health Counselor
NPI 1104004746
4161 TAMIAMI TRL STE 304D
Port Charlotte, FL 33952
(941) 625-5895
✔ PECOS✔ Accepts MedicareSame address
Hedrick Frank, LMHC
Mental Health Counselor
NPI 1669866521
4161 TAMIAMI TRL STE 304D
Port Charlotte, FL 33952
(941) 625-5895
✔ PECOS✔ Accepts MedicareSame address
Chemenda Sawyer, LMHC
Mental Health Counselor
NPI 1942604863
4161 TAMIAMI TRL STE 304D
Port Charlotte, FL 33952
(941) 625-5895
✔ PECOS✔ Accepts MedicareSame address
Daniel Banks
Nurse Practitioner
NPI 1336603588
25097 OLYMPIA AVE STE 205
Punta Gorda, FL 33950
(941) 347-8341
✔ PECOS✔ Accepts Medicare3.4 mi
Liana Calderin, APRN-PMHNP-BC
Mental Health Counselor
NPI 1174183537
900 SW PINE ISLAND RD STE 207
Cape Coral, FL 33991
(941) 625-5895
✔ PECOS✔ Accepts Medicare23 mi
Ruth Mcallister, APRN, PMHNP-BC
Nurse Practitioner
NPI 1396327086
7317 MERCHANT CT STE A
Lakewood Ranch, FL 34240
(941) 625-5895
✔ PECOS✔ Accepts Medicare36 mi

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

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 Bennett W Mcallister MD PA's NPI number?

The NPI number for Bennett W Mcallister MD PA is 1104154053. It was assigned to this organization in the NPPES registry on December 3, 2009. The provider is also known as Lighthouse Psychiatry.

Where is Bennett W Mcallister MD PA located?

Bennett W Mcallister MD PA is located at 4161 Tamiami Trl Ste 304D, Port Charlotte, FL 33952. The listed phone number is (941) 625-5895.

What is Bennett W Mcallister MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Bennett W Mcallister MD PA enrolled in Medicare?

Yes. Bennett W Mcallister MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bennett W Mcallister MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Bennett W Mcallister MD PA. A 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 the clinician's services. The largest specialties are Mental Health Counselor (5), Nurse Practitioner (2) and Psychiatry (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bennett W Mcallister MD PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Bennett W Mcallister MD PA 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 Bennett W Mcallister MD PA was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.