EFFAT BENNETT CRNP
NPI 1457004335
Nurse Practitioner - Gerontology in Washington, DC

Active since January 31, 2022PECOS EnrolledAccepts Medicare Assignment
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 660-6500(202) 660-6501 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2022, May 26, 2022, Jan 31, 2022 (3 updates tracked since 2022).

About Effat Bennett Crnp NPPES

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

EFFAT BENNETT CRNP (NPI 1457004335) is an individual gerontology provider in Washington, District Of Columbia, licensed in District Of Columbia (NP500014970) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457004335
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameEFFAT BENNETTCredential: CRNP
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704
Fax(202) 660-6501
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 31, 2022
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1457004335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in DC · NP500014970
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP500014970 (DC)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1059403 (TX)
5255 LOUGHBORO RD NW, Washington, DC 20016

Secondary Practice Location 1

Location 111914 Astoria Blvd Ste 510Houston, TX 77089-6050 · Phone (216) 702-3076

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

Effat Bennett Crnp 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 ID143614792
PECOS Enrollment IDI20240111002217
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.

Areas of Expertise CMS Part B claims 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services36 patients
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.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Effat Bennett's NPI number?

The NPI number for Effat Bennett is 1457004335. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Effat Bennett located?

Effat Bennett practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 660-6500.

What is Effat Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Effat Bennett enrolled in Medicare?

Yes. Effat 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.

What insurance does Effat Bennett accept?

Health plans from Oscar Insurance Company list Effat 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 Effat Bennett was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.