ALEXIS BENNETT LICSW
NPI 1114381258
Social Worker - Clinical in Edina, MN

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
6906 PAINTE CIRCLE, EDINA, MN 55439(612) 508-0704 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2021, Mar 31, 2021 (2 updates tracked since 2021).

About Alexis Bennett Licsw NPPES

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

ALEXIS BENNETT LICSW (NPI 1114381258) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (21758) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114381258
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXIS BENNETTCredential: LICSW
Location Address6906 PAINTE CIRCLEEdina, MN 55439
Mailing Address6906 Paiute CirMinneapolis, MN 55439-1031 · (612) 508-0704
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 5, 2016
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1114381258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 21758
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6906 PAINTE CIRCLE, Edina, MN 55439

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

Alexis Bennett Licsw 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 ID2860890696
PECOS Enrollment IDI20211015001147
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 Reassignment

Medicare enrollment records show Alexis Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6804 IROQUOIS CIR
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • 14 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 55439 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 Alexis Bennett's NPI number?

The NPI number for Alexis Bennett is 1114381258. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Alexis Bennett located?

Alexis Bennett practices at 6906 Painte Circle, Edina, MN 55439. The listed phone number is (612) 508-0704.

What is Alexis Bennett's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alexis Bennett enrolled in Medicare?

Yes. Alexis 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 organization bills Medicare for Alexis Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Bennett reassigns Medicare benefits to Orka Health And Wellness, PLLC (Edina, MN). The 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 Alexis Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexis Bennett was last updated on July 13, 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.