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GINA BENNETT
NPI 1588042105
Nurse Practitioner in Wynnewood, PA

Active since May 14, 2015PECOS Enrolled
100 E. LANCASTER AVE, ST 130, WYNNEWOOD, PA 19096(610) 649-1175(610) 896-8753 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2019, Jun 22, 2018, Dec 20, 2016 (3 updates tracked since 2016).

About Gina Bennett NPPES

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

GINA BENNETT (NPI 1588042105) is an individual nurse practitioner in Wynnewood, Pennsylvania, licensed in Pennsylvania (RN530235L) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588042105
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGINA BENNETT
Location Address100 E. LANCASTER AVE, ST 130Wynnewood, PA 19096
Mailing Address100 E. Lancaster Ave, St 130Wynnewood, PA 19096
Phone(610) 649-1175
Fax(610) 896-8753
Sole ProprietorNo
Enumeration DateMay 14, 2015
Last NPPES UpdateFebruary 21, 20193 updates tracked since enumeration
✔ NPI 1588042105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · RN530235L
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 E. LANCASTER AVE, Wynnewood, PA 19096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Bennett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Gina Bennett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University
3.2 mi
Sports Medicine
10 SHURS LN
Philadelphia, PA 19127
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1689842072 (215) 482-1234
Tower Drexel Academic Medical Group LLC
3.3 mi
Sports Medicine
10 SHURS LN STE 206
Philadelphia, PA 19127
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
NPI 1306479829 (215) 482-1234

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 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

BRIDGET E SURANIE CRNP
Nurse Practitioner (Adult Health)
100 E. LANCASTER AVE, JD LANKENAU PAVILION, MEZZANINE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-1000
SEBASTIANO PORCU MD
Student in an Organized Health Care Education/Training Program
100 E. LANCASTER AVE, ANNENBERG G-10
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Gina Bennett's NPI number?

The NPI number for Gina Bennett is 1588042105. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Gina Bennett located?

Gina Bennett practices at 100 E. Lancaster Ave St 130, Wynnewood, PA 19096. The listed phone number is (610) 649-1175.

What is Gina Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gina Bennett enrolled in Medicare?

Yes. Gina Bennett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gina Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Bennett reassigns Medicare benefits to 2 organizations: Drexel University (Philadelphia, PA) and Tower Drexel Academic Medical Group LLC (Philadelphia, PA). Each 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 Gina Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gina Bennett was last updated on February 21, 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.