MISS MICAH RAVEN BENNETT FNP
NPI 1275211823
Nurse Practitioner - Family in Myrtle Beach, SC

Active since July 05, 2023PECOS Enrolled
2200 CROW LN, MYRTLE BEACH, SC 29577(843) 848-5300 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, Jul 5, 2023 (2 updates tracked since 2023).

About Miss Micah Raven Bennett Fnp NPPES

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

MISS MICAH RAVEN BENNETT FNP (NPI 1275211823) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (27540) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275211823
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MICAH RAVEN BENNETTCredential: FNP
Location Address2200 CROW LNMyrtle Beach, SC 29577-1663
Mailing Address2200 Crow LnMyrtle Beach, SC 29577-1663 · (843) 504-2747
Sole ProprietorNo
Enumeration DateJuly 5, 2023
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1275211823 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 SC · 27540
2200 CROW LN, Myrtle Beach, SC 29577

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 (PECOS)

Miss Micah Raven Bennett Fnp 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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services77 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.
46 services36 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
13 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29577 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 11

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

Physical Therapist
2200 CROW LN
MYRTLE BEACH, SC 29577
Nurse Practitioner (Primary Care)
2200 CROW LN
MYRTLE BEACH, SC 29577
Nurse Practitioner
2200 CROW LN
MYRTLE BEACH, SC 29577
Physical Therapist
2200 CROW LN
MYRTLE BEACH, SC 29577
Dietitian, Registered
2200 CROW LN
MYRTLE BEACH, SC 29577
Otolaryngology
2200 CROW LN
MYRTLE BEACH, SC 29577
Occupational Therapist
2200 CROW LN
MYRTLE BEACH, SC 29577
Pediatrics
2200 CROW LN
MYRTLE BEACH, SC 29577

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 Micah Bennett's NPI number?

The NPI number for Micah Bennett is 1275211823. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Micah Bennett located?

Micah Bennett practices at 2200 Crow Ln, Myrtle Beach, SC 29577. The listed phone number is (843) 848-5300.

What is Micah Bennett's specialty?

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

Is Micah Bennett enrolled in Medicare?

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

What insurance does Micah Bennett accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Micah 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 Micah Bennett was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.