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MS. TINA RENEE BENNETT FNP-BC
NPI 1295582401
Nurse Practitioner - Family in Jackson, MS

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
570 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 540-2317 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Tina Renee Bennett Fnp-bc NPPES

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

MS. TINA RENEE BENNETT FNP-BC (NPI 1295582401) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (906542) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295582401
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TINA RENEE BENNETTCredential: FNP-BC
Location Address570 E WOODROW WILSON AVEJackson, MS 39216-4538
Mailing Address536 Springhill XingBrandon, MS 39047-5019 · (601) 540-2317
Phone(601) 540-2317
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 6, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1295582401 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 MS · 906542
570 E WOODROW WILSON AVE, Jackson, MS 39216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

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

Ms. Tina Renee Bennett Fnp-bc 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 ID6709328412
PECOS Enrollment IDI20240610003296
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 Tina Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ms State Department Of Health
Same address
Community/Behavioral Health
570 E WOODROW WILSON AVE
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 54 clinicians in this Medicare group
NPI 1053489260 (601) 906-0879

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 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 9

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

MS STATE DEPARTMENT OF HEALTH
Community/Behavioral Health
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 906-0879
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Community/Behavioral Health
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 906-0879
DR. MARY CURRIER M.D.
Internal Medicine
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 576-7534
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Clinical Medical Laboratory
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 576-7582
ROSALYN C WALKER M.D.
Pediatrics (Pediatric Pulmonology)
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 576-7472
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Community/Behavioral Health
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 906-0879
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Public Health or Welfare
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 576-7500
MRS. KRISTA K GUYNES LCSW
Social Worker (Clinical)
570 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 576-7400

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 Tina Bennett's NPI number?

The NPI number for Tina Bennett is 1295582401. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Tina Bennett located?

Tina Bennett practices at 570 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 540-2317.

What is Tina Bennett's specialty?

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

Is Tina Bennett enrolled in Medicare?

Yes. Tina 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 organization bills Medicare for Tina Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Bennett reassigns Medicare benefits to Ms State Department Of Health (Jackson, MS). 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 Tina Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Bennett accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tina 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 Tina Bennett was last updated on May 6, 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.