KELLY ANN BENNETTO FNP
NPI 1417738956
Nurse Practitioner - Family in Shepherd, MT

Active since October 10, 2023PECOS EnrolledAccepts Medicare Assignment
7814 BUCKSKIN DR, SHEPHERD, MT 59079(406) 500-1858 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Bennetto Fnp NPPES

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

KELLY ANN BENNETTO FNP (NPI 1417738956) is an individual family provider in Shepherd, Montana, licensed in Montana (NUR-APRN-LIC-219555) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417738956
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ANN BENNETTOCredential: FNP
Location Address7814 BUCKSKIN DRShepherd, MT 59079-4521
Mailing AddressPo Box 101Shepherd, MT 59079-0101 · (406) 500-1858
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 10, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1417738956 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 MT · NUR-APRN-LIC-219555
7814 BUCKSKIN DR, Shepherd, MT 59079

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 and accepts Medicare assignment

Kelly Ann Bennetto Fnp 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 ID5092236216
PECOS Enrollment IDI20250304003597
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.

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59079 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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

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

Nurse Practitioner (Family)
7814 BUCKSKIN DR
SHEPHERD, MT 59079

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 Kelly Bennetto's NPI number?

The NPI number for Kelly Bennetto is 1417738956. It was assigned to this individual provider in the NPPES registry on October 10, 2023.

Where is Kelly Bennetto located?

Kelly Bennetto practices at 7814 Buckskin Dr, Shepherd, MT 59079. The listed phone number is (406) 500-1858.

What is Kelly Bennetto's specialty?

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

Is Kelly Bennetto enrolled in Medicare?

Yes. Kelly Bennetto 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.

What insurance does Kelly Bennetto accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Kelly Bennetto 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.

Is Kelly Bennetto affiliated with any hospitals?

According to CMS data, Kelly Bennetto is affiliated with St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Kelly Bennetto was last updated on October 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.