Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE RHEA BENNETT PMHNP
NPI 1407626658
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since January 08, 2024PECOS EnrolledAccepts Medicare Assignment
3840 HULEN ST, FORT WORTH, TX 76107(817) 569-4300 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Apr 9, 2025, Mar 20, 2025 (3 updates tracked since 2025).

About Nicole Rhea Bennett Pmhnp NPPES

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

NICOLE RHEA BENNETT PMHNP (NPI 1407626658) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1142332) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407626658
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE RHEA BENNETTCredential: PMHNP
Location Address3840 HULEN STFort Worth, TX 76107-7277
Mailing Address2323 W Front StTyler, TX 75702-7747 · (903) 597-1351 · Fax (903) 535-7384
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 8, 2024
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1407626658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1142332
3840 HULEN ST, Fort Worth, TX 76107

Secondary Practice Locations 5

Location 11174 E Lennon Dr Ste CEmory, TX 75440-3255 · Phone (903) 473-2671 · Fax (903) 535-7384
Location 2575 W State Highway 243Canton, TX 75103-2113 · Phone (903) 567-4197 · Fax (903) 535-7384
Location 3703 W Patten StMineola, TX 75773-1541 · Phone (903) 569-5409 · Fax (903) 535-7384
Location 42323 W Front StTyler, TX 75702-7747 · Phone (903) 597-1351 · Fax (903) 535-7384
Location 56901 State Highway 19 SAthens, TX 75751-9119 · Phone (903) 675-8541 · Fax (903) 535-7384

Accepted 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

Nicole Rhea Bennett Pmhnp 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 ID9436597473
PECOS Enrollment IDI20240409004644
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 Nicole Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1738 ELLIOT DR
Canton, TX 75103
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Andrews Center
  • 71 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Dietitian, Registered
3840 HULEN ST
FORT WORTH, TX 76107
Counselor (Addiction (Substance Use Disorder))
3840 HULEN ST
FORT WORTH, TX 76107
Occupational Therapist
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Social Worker
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107

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 Nicole Bennett's NPI number?

The NPI number for Nicole Bennett is 1407626658. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Nicole Bennett located?

Nicole Bennett practices at 3840 Hulen St, Fort Worth, TX 76107. The listed phone number is (817) 569-4300.

What is Nicole Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Bennett enrolled in Medicare?

Yes. Nicole 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 Nicole Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bennett reassigns Medicare benefits to Andrews Center - Elliott St (Canton, TX). 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 Nicole Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bennett accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Nicole 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 Nicole Bennett was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.