DEMETRA BENNETT NP
NPI 1184676025
Nurse Practitioner - Family in Lakeland, FL

Active since May 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2059642 · Waiver
930 MARCUM RD STE 5, LAKELAND, FL 33809(863) 940-4886(863) 816-5769 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Demetra Bennett Np NPPES

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

DEMETRA BENNETT NP (NPI 1184676025) is an individual family provider in Lakeland, Florida, licensed in Florida (APRN9164847) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 27, 2027, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184676025
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEMETRA BENNETTCredential: NP
Location Address930 MARCUM RD STE 5Lakeland, FL 33809-4308
Mailing Address3376 Fiddle Leaf WayLakeland, FL 33811-3001 · (863) 602-8174
Fax(863) 816-5769
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1184676025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN9164847
Also ListedEmergency MedicineTaxonomy 207P00000X · License ARNP9164847 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9164847 (FL)
930 MARCUM RD STE 5, Lakeland, FL 33809

Other Identifiers 1

Medicaid306599500FL

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

Demetra Bennett Np 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 ID3072580489
PECOS Enrollment IDI20040915000332
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2059642

Demetra Bennett Arnp LLC · Lakeland, FL
Active · expires May 27, 2027
CLIA Number10D2059642
Laboratory TypePractitioner Other
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorDemetra Bennett
Laboratory Phone(863) 940-4886
Laboratory LocationDemetra Bennett Arnp LLC930 Marcum Rd Ste 5, Lakeland, FL 33809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

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.
73 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33809 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Demetra Bennett's NPI number?

The NPI number for Demetra Bennett is 1184676025. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Demetra Bennett located?

Demetra Bennett practices at 930 Marcum Rd Ste 5, Lakeland, FL 33809. The listed phone number is (863) 940-4886.

What is Demetra Bennett's specialty?

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

Is Demetra Bennett enrolled in Medicare?

Yes. Demetra 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.

Does Demetra Bennett hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2059642) is associated with this NPI, valid through May 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Demetra Bennett accept?

Health plans from UnitedHealthcare list Demetra 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 Demetra Bennett was last updated on September 9, 2020. 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.