MRS. MARY KEELY COSTELLO BENNETT AGACNP-BC
NPI 1417398124
Nurse Practitioner - Acute Care in Richmond, VA

Q: What is Mary Bennett's NPI number?

The NPI number for Mary Bennett is 1417398124. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Q: What is Mary Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bennett was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment

76.23/100

CMS Quality Rating

1250 E MARSHALL ST, EMERGENCY MEDICINE, RICHMOND, VA 23298(804) 828-5650(804) 828-4686 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Mary Keely Costello Bennett Agacnp-bc NPPES

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

MRS. MARY KEELY COSTELLO BENNETT AGACNP-BC (NPI 1417398124) is an individual acute care provider in Richmond, Virginia, licensed in Virginia (0024170989) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417398124

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. MARY KEELY COSTELLO BENNETTCredential: AGACNP-BC

Location Address1250 E MARSHALL ST, EMERGENCY MEDICINERichmond, VA 23298-5051

Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619

Phone(804) 828-5650

Fax(804) 828-4686

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 10, 2013

Last NPPES UpdateFebruary 7, 2019

✔ NPI 1417398124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in VA · 0024170989

1250 E MARSHALL ST, Richmond, VA 23298

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Keely Costello Bennett Agacnp-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 ID547496085

PECOS Enrollment IDI20131112000229

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.58

Promoting Interoperability

100

Improvement Activities

Cost

56.18

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.

NEVIN YILMAZ MD

Student in an Organized Health Care Education/Training Program

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 828-9783

MS. RENEE D SEAMAN NP

Nurse Practitioner (Family)

1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-3144

DR. AIMEE COLLINS MD

Internal Medicine

1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-3144

MRS. MARY ELIZABETH O'BOYLE WILLIS FNP

Nurse Practitioner (Family)

1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298

Richmond City (804) 628-0189

DR. AMY SAMANTHA MAY PAUL M.D.

Internal Medicine (Geriatric Medicine)

1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298

Richmond City (804) 254-3500

MRS. ERICA STOREY CLINE PA-C

Physician Assistant

1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-0996

CYNTHIA CHENAULT AGACNP

Nurse Practitioner (Acute Care)

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 628-3646

DR. TAYLOR LATIA ROACH MD

Student in an Organized Health Care Education/Training Program

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 628-7497

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 Mary Bennett's NPI number?

The NPI number for Mary Bennett is 1417398124. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Mary Bennett located?

Mary Bennett practices at 1250 E Marshall St Emergency Medicine, Richmond, VA 23298. The listed phone number is (804) 828-5650.

What is Mary Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Bennett enrolled in Medicare?

Yes. Mary 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.

Is Mary Bennett affiliated with any hospitals?

According to CMS data, Mary Bennett is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Mary Bennett was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.