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KELLY A BENNINGTON PA
NPI 1679056188
Physician Assistant in Springfield, OH

Active since September 11, 2018PECOS Enrolled
2701 MOOREFIELD RD, SPRINGFIELD, OH 45502(937) 399-6650(937) 399-8558 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Bennington Pa NPPES

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

KELLY A BENNINGTON PA (NPI 1679056188) is an individual physician assistant in Springfield, Ohio and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679056188
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY A BENNINGTONCredential: PA
Location Address2701 MOOREFIELD RDSpringfield, OH 45502-8207
Mailing Address2701 Moorefield RdSpringfield, OH 45502-8207 · (937) 399-6650 · Fax (937) 399-8558
Phone(937) 399-6650
Fax(937) 399-8558
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
✔ NPI 1679056188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2701 MOOREFIELD RD, Springfield, OH 45502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A Bennington Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446502397
PECOS Enrollment IDI20181004001391
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45502 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 5

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

RICHARD E GORDON JR. MD
Family Medicine
2701 MOOREFIELD RD
SPRINGFIELD, OH 45502
Clark County (937) 399-6650
ANDREW JEFFERY KROFFT PA-C
Physician Assistant
2701 MOOREFIELD RD
SPRINGFIELD, OH 45502
Clark County (937) 399-6650
FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC
Family Medicine
2701 MOOREFIELD RD
SPRINGFIELD, OH 45502
Clark County (937) 399-6650
L PAMELA GREENE CNP
Nurse Practitioner (Adult Health)
2701 MOOREFIELD RD
SPRINGFIELD, OH 45502
Clark County (937) 399-6650
CATHERINE EARL PA-C
Physician Assistant
2701 MOOREFIELD RD
SPRINGFIELD, OH 45502
Clark County (937) 399-6650

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 Bennington's NPI number?

The NPI number for Kelly Bennington is 1679056188. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Kelly Bennington located?

Kelly Bennington practices at 2701 Moorefield Rd, Springfield, OH 45502. The listed phone number is (937) 399-6650.

What is Kelly Bennington's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Bennington enrolled in Medicare?

Yes. Kelly Bennington is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Bennington accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Kelly Bennington 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 Kelly Bennington was last updated on September 11, 2018. 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.