JACKIE DAWN BENNETT FNP-BC
NPI 1174028849
Nurse Practitioner - Family in Monte Vista, CO

Q: What is Jackie Bennett's NPI number?

The NPI number for Jackie Bennett is 1174028849. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Jackie Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Bennett was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 26, 2018PECOS Enrolled

83.97/100

CMS Quality Rating

103 CHICO CT, MONTE VISTA, CO 81144(719) 852-9400(719) 852-9311 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Jul 6, 2023, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Jackie Dawn Bennett Fnp-bc NPPES

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

JACKIE DAWN BENNETT FNP-BC (NPI 1174028849) is an individual family provider in Monte Vista, Colorado, licensed in Colorado (0993785-NP) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174028849

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKIE DAWN BENNETTCredential: FNP-BC

Location Address103 CHICO CTMonte Vista, CO 81144-1065

Mailing Address371 Pinon Valley RdDel Norte, CO 81132-9014 · (719) 588-1557

Phone(719) 852-9400

Fax(719) 852-9311

Sole ProprietorNo

Enumeration DateMarch 26, 2018

Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1174028849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · 0993785-NP

103 CHICO CT, Monte Vista, CO 81144

Open in Google Maps ↗

Other Identifiers 1

OtherRN0162822CO · Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Dawn Bennett Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81144 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.8

Promoting Interoperability

Improvement Activities

Cost

57.16

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers15 claims15 services$88.59 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers14 claims36 services$41.32 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers11 claims11 services$19.75 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers15 claims15 services$18.18 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers13 claims73 services$3.18 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers94 claims95 services$19.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Family Medicine

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Orthopaedic Surgery

103 CHICO CT, SUITE B
MONTE VISTA, CO 81144

Rio Grande County (719) 852-7240

KENDRA COX PA-C

Physician Assistant

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

KYLE REED BARKDULL DO

Family Medicine

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

MONTE VISTA FAMILY PRACTICE

Family Medicine

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

DR. SUSANNAH REED CARY DO

Family Medicine

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

WILLIAM H COOPER MD

Psychiatry & Neurology (Neurology)

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

AMANDA L LEWIS PA-C

Physician Assistant

103 CHICO CT
MONTE VISTA, CO 81144

Rio Grande County (719) 852-9400

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 Jackie Bennett's NPI number?

The NPI number for Jackie Bennett is 1174028849. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Jackie Bennett located?

Jackie Bennett practices at 103 Chico Ct, Monte Vista, CO 81144. The listed phone number is (719) 852-9400.

What is Jackie Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackie Bennett enrolled in Medicare?

Yes. Jackie Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Bennett was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.