DUSTIN LANSING BENNETT PA-C
NPI 1669039525
Physician Assistant - Surgical in Nellis Afb, NV

Active since May 24, 2019PECOS Enrolled
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

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

Record update history: May 28, 2026, Apr 9, 2026, Jan 13, 2026 and 2 more (5 updates tracked since 2019).

About Dustin Lansing Bennett Pa-c NPPES

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

DUSTIN LANSING BENNETT PA-C (NPI 1669039525) is an individual surgical provider in Nellis Afb, Nevada, licensed in Nevada (PA3394) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669039525
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDUSTIN LANSING BENNETTCredential: PA-C
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 24, 2019
Last NPPES UpdateMay 28, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1669039525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NV · PA3394
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA3394 (NV)
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Secondary Practice Location 1

Location 12231 W Charleston BlvdLas Vegas, NV 89102-2254 · Phone (702) 383-2663 · Fax (702) 383-2682

Other Identifiers 1

Other1669039525Dod

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dustin Lansing Bennett Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416429311
PECOS Enrollment IDI20260611001944
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.

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.

Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Obstetrics & Gynecology
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191

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 Dustin Bennett's NPI number?

The NPI number for Dustin Bennett is 1669039525. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Dustin Bennett located?

Dustin Bennett practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.

What is Dustin Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dustin Bennett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dustin Bennett was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.