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LAURA BENNETT APN
NPI 1245654771
Nurse Practitioner - Family in Philadelphia, PA

Active since February 04, 2014PECOS Enrolled
1700 N BROAD ST STE 4, PHILADELPHIA, PA 19121(215) 204-7500 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2020, Mar 30, 2017, Sep 2, 2016 (3 updates tracked since 2016).

About Laura Bennett Apn NPPES

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

LAURA BENNETT APN (NPI 1245654771) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029186) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245654771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA BENNETTCredential: APN
Location Address1700 N BROAD ST STE 4Philadelphia, PA 19121-3429
Mailing Address135 Henfield AveCherry Hill, NJ 08003-1549 · (609) 540-7207
Phone(215) 204-7500
Sole ProprietorNo
Enumeration DateFebruary 4, 2014
Last NPPES UpdateMarch 21, 20243 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
✔ NPI 1245654771 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 PA · SP029186✔ Licensed in NJ · 26NJ00482500
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00482500 (NJ)
1700 N BROAD ST STE 4, Philadelphia, PA 19121
Open in Google Maps ↗

Other Names 1

Former Name (1)Laura Wagner Apn

Secondary Practice Locations 2

Location 113 S Lakeview DrGibbsboro, NJ 08026-1155 · Phone (856) 783-2802
Location 2200 Marter Ave Ste 100Moorestown, NJ 08057-3147 · Phone (856) 235-2147

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Bennett Apn 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.

Medicare Billing Reassignment

Medicare enrollment records show Laura Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
14 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 19121 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

REBECCA KEUCH CRNP
Nurse Practitioner (Family)
1700 N BROAD ST STE 4
PHILADELPHIA, PA 19121
Philadelphia County (215) 204-7500
JAMES RORY JUDSON TUCKER M.D.
Family Medicine
1700 N BROAD ST STE 4
PHILADELPHIA, PA 19121
Philadelphia County (215) 204-7500
LOGAN ZACHARY BLAIR MD
Internal Medicine
1700 N BROAD ST STE 4
PHILADELPHIA, PA 19121
Philadelphia County (215) 204-7500

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 Laura Bennett's NPI number?

The NPI number for Laura Bennett is 1245654771. It was assigned to this individual provider in the NPPES registry on February 4, 2014. The provider is also known as Laura Wagner Apn.

Where is Laura Bennett located?

Laura Bennett practices at 1700 N Broad St Ste 4, Philadelphia, PA 19121. The listed phone number is (215) 204-7500.

What is Laura Bennett's specialty?

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

Is Laura Bennett enrolled in Medicare?

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

Which organization bills Medicare for Laura Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Bennett reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). 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 Laura 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 Laura Bennett was last updated on March 21, 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.