MS. ANGELICA MARIE BENNETT APRN
NPI 1366399792
Nurse Practitioner - Family in Maryland Heights, MO

Q: What is Angelica Bennett's NPI number?

The NPI number for Angelica Bennett is 1366399792. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Q: What is Angelica Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelica Bennett was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since March 13, 2026PECOS Enrolled

2024 DORSETT VLG, MARYLAND HEIGHTS, MO 63043(314) 590-0550 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ms. Angelica Marie Bennett Aprn NPPES

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

MS. ANGELICA MARIE BENNETT APRN (NPI 1366399792) is an individual family provider in Maryland Heights, Missouri, licensed in Missouri (2025094190) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366399792

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ANGELICA MARIE BENNETTCredential: APRN

Location Address2024 DORSETT VLGMaryland Heights, MO 63043-2208

Mailing Address2024 Dorsett VlgMaryland Heights, MO 63043-2208 · (314) 590-0550

Phone(314) 590-0550

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 13, 2026

NPPES CertifiedMarch 13, 2026

✔ NPI 1366399792 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 MO · 2025094190

2024 DORSETT VLG, Maryland Heights, MO 63043

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, 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 (PECOS)

Ms. Angelica Marie Bennett Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214404359

PECOS Enrollment IDI20260427002182

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 Angelica Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Medical Group, Inc.

13 mi

Multi-Specialty

1011 BOWLES AVE, SUITE 300
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
697 clinicians in this Medicare group

NPI 1700966207 (636) 496-5000

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 63043 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 13

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

TRAVIS COBB DO

Family Medicine