1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile

KATIE RAE BENNETT NP-C
NPI 1215177464
Nurse Practitioner - Family in Baltimore, MD

Active since March 01, 2009PECOS EnrolledAccepts Medicare Assignment
1000 E EAGER ST, BALTIMORE, MD 21202(410) 522-9800(410) 522-5136 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katie Rae Bennett Np-c NPPES

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

KATIE RAE BENNETT NP-C (NPI 1215177464) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R158893) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1215177464
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIE RAE BENNETTCredential: NP-C
Location Address1000 E EAGER STBaltimore, MD 21202-5533
Mailing Address3100 Wyman Park DrBaltimore, MD 21211-2803 · (410) 338-3500
Phone(410) 522-9800
Fax(410) 522-5136
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 1, 2009
Last NPPES UpdateNovember 14, 2012
✔ NPI 1215177464 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 MD · R158893
1000 E EAGER ST, Baltimore, MD 21202
Open in Google Maps ↗

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

Katie Rae Bennett Np-c 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 ID4789734062
PECOS Enrollment IDI20180501002139
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 Reassignments

3

Medicare enrollment records show Katie Bennett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boston's Community Medical Group, Inc.
357 mi
Primary Care
30 NORTHAMPTON STREET
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Bostons Community Medical Group Inc
  • 50 clinicians in this Medicare group
NPI 1235174418 (617) 433-9601
Commonwealth Clinical Alliance, Inc
357 mi
Case Manager/Care Coordinator
30 NORTHAMPTON ST
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 49 clinicians in this Medicare group
NPI 1679605091 (617) 433-9601
Matrix Medical Plus
598 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Massachusetts enrollment
  • 125 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

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 21202 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

DR. JEREMY A GREENE M.D., PH.D.
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (410) 522-9800
DR. ALLISON ELIZABETH DOYLE MD
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (412) 732-8800
DR. MONICA MIX M.D.
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (410) 522-9800
MARYANN GARCIA-PHILLIP MD
Pediatrics
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (410) 522-9800
WALGREEN CO
Pharmacy
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (410) 502-8414
KEVIN KLEMBCZYK MD
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (410) 522-9800
DR. LENORA EILEEN CALDWELL DDS
Dentist
1000 E EAGER ST
BALTIMORE, MD 21202
Baltimore City (410) 541-4432
ROBERTO JULIO ECHEVERRI MD
Family Medicine
1000 E EAGER ST, FAMILY MEDICINE
BALTIMORE, MD 21202
Baltimore City (410) 502-8379

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 Katie Bennett's NPI number?

The NPI number for Katie Bennett is 1215177464. It was assigned to this individual provider in the NPPES registry on March 1, 2009.

Where is Katie Bennett located?

Katie Bennett practices at 1000 E Eager St, Baltimore, MD 21202. The listed phone number is (410) 522-9800.

What is Katie Bennett's specialty?

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

Is Katie Bennett enrolled in Medicare?

Yes. Katie 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 organizations bill Medicare for Katie Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Bennett reassigns Medicare benefits to 3 organizations: Boston's Community Medical Group, Inc. (Boston, MA), Commonwealth Clinical Alliance, Inc (Boston, MA) and Matrix Medical Plus (Nashville, TN). Each 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 Katie 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 Katie Bennett was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.