DR. WALTER CHARLES BENNETT JR.
NPI 1164569703
Nurse Practitioner - Family in Fayetteville, TN
About Dr. Walter Charles Bennett Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WALTER CHARLES BENNETT JR. (NPI 1164569703) is an individual family provider in Fayetteville, Tennessee, licensed in Tennessee (16762) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and maintains a secondary practice location in Hicksville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Walter Charles Bennett Jr. 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 Reassignment
Medicare enrollment records show Walter Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, TN 37334
- Reassigned Medicare billing, Tennessee enrollment
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lincoln Medical Center
Acute Care Hospitals · Fayetteville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37334 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, TN 37334
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 Walter Bennett's NPI number?
The NPI number for Walter Bennett is 1164569703. It was assigned to this individual provider in the NPPES registry on January 31, 2007.
Where is Walter Bennett located?
Walter Bennett practices at 2310 Thornton Taylor Pkwy Ste C, Fayetteville, TN 37334. The listed phone number is (931) 251-3009.
What is Walter Bennett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Walter Bennett enrolled in Medicare?
Yes. Walter 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 Walter Bennett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Bennett reassigns Medicare benefits to Walter C Bennett Dc Fnp Inc (Fayetteville, TN). 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 Walter Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Walter Bennett accept?
Health plans from BlueCross BlueShield of Tennessee list Walter 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 Walter Bennett affiliated with any hospitals?
According to CMS data, Walter Bennett is affiliated with Lincoln Medical Center.
When was this NPI record last updated?
The NPPES record for Walter Bennett was last updated on September 26, 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.
# Dr. Walter Charles Bennett Jr. · NPI 1164569703
Family physician in Fayetteville, Tennessee. Individual provider, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1164569703 (Entity type: Individual)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 16762 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2310 THORNTON TAYLOR PKWY STE C, Fayetteville, TN 37334-3668
- **Phone:** (931) 251-3009
## 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:** Walter C Bennett Dc Fnp Inc (NPI 1326486184, Fayetteville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 26, 2024
- **Other identifiers:** Other 51507154 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1164569703) · Data from the CMS NPPES public registry.