DR. WALTER CHARLES BENNETT JR.
NPI 1164569703
Nurse Practitioner - Family in Fayetteville, TN

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
2310 THORNTON TAYLOR PKWY STE C, FAYETTEVILLE, TN 37334(931) 251-3009 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, maintains a secondary practice location in Hicksville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164569703
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. WALTER CHARLES BENNETT JR.
Location Address2310 THORNTON TAYLOR PKWY STE CFayetteville, TN 37334-3668
Mailing Address2310c Thornton Taylor Pkwy Ste 102Fayetteville, TN 37334-3630 · (931) 251-3009 · Fax (256) 774-5866
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
NPI 1164569703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 16762 Licensed in NY · 355160
Also ListedChiropractorTaxonomy 111N00000X · License 2025 (AL)
2310 THORNTON TAYLOR PKWY STE C, Fayetteville, TN 37334

Secondary Practice Location 1

Location 1125 Jerusalem Ave Apt AHicksville, NY 11801-4958 · Phone (516) 935-3555

Other Identifiers 1

Other51507154AL · Blue Cross/blue Shield

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

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.

PECOS PAC ID5597852947
PECOS Enrollment IDI20130215000462, I20241206002272
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.

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
1,500 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
427 services34 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
262 services24 patients
Osteopathic manipulative treatment, 1-2 body regions 98925
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose and treat illnesses. For 1-2 body regions, the doctor focuses on specific areas like your back or neck, using techniques to alleviate pain, restore function, and promote healing.
181 services15 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
33 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician 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.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2310 THORNTON TAYLOR PKWY STE C
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.

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.

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 22 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.