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NICOLE ANDREA BENNETT PMHNP-BC
NPI 1679163372
Nurse Practitioner - Psychiatric/Mental Health in East Alton, IL

Active since January 26, 2021PECOS EnrolledAccepts Medicare Assignment
2 TERMINAL DR STE 8, EAST ALTON, IL 62024(618) 259-0365(618) 259-2495 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Jan 26, 2021 (2 updates tracked since 2021).

About Nicole Andrea Bennett Pmhnp-bc NPPES

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

NICOLE ANDREA BENNETT PMHNP-BC (NPI 1679163372) is an individual psychiatric/mental health provider in East Alton, Illinois, licensed in Illinois (209030085) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679163372
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE ANDREA BENNETTCredential: PMHNP-BC
Location Address2 TERMINAL DR STE 8East Alton, IL 62024-2294
Mailing Address2 Terminal Dr Ste 8East Alton, IL 62024-2294 · (618) 259-0365 · Fax (618) 259-2495
Phone(618) 259-0365
Fax(618) 259-2495
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 26, 2021
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1679163372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209030085
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 2018036588 (MO)
2 TERMINAL DR STE 8, East Alton, IL 62024
Open in Google Maps ↗

Other Identifiers 2

Other041470020IL · Rn
Other2018036588MO · Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Andrea Bennett Pmhnp-bc 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 ID6406397710
PECOS Enrollment IDI20240926000042
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 Nicole Bennett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Healthcare Foundation Inc
Same address
Federally Qualified Health Center (FQHC)
2 TERMINAL DR STE 4B
East Alton, IL 62024
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1962234070 (618) 216-8127
Touchette Regional Hospital Inc
22 mi
Emergency Medicine
5900 BOND AVE
Cahokia Heights, IL 62207
  • Reassigned Medicare billing, Illinois enrollment
  • 68 clinicians in this Medicare group
NPI 1922019926 (618) 332-3060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62024 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

MRS. LORI B HARRISON MSW, LCSW
Social Worker (Clinical)
2 TERMINAL DR STE 8
EAST ALTON, IL 62024
Madison County (618) 259-0365

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 Nicole Bennett's NPI number?

The NPI number for Nicole Bennett is 1679163372. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Nicole Bennett located?

Nicole Bennett practices at 2 Terminal Dr Ste 8, East Alton, IL 62024. The listed phone number is (618) 259-0365.

What is Nicole Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Bennett enrolled in Medicare?

Yes. Nicole 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.

Which organizations bill Medicare for Nicole Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bennett reassigns Medicare benefits to 2 organizations: Southern Illinois Healthcare Foundation Inc (East Alton, IL) and Touchette Regional Hospital Inc (Cahokia Heights, IL). 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 Nicole Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bennett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and UnitedHealthcare list Nicole 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.

Is Nicole Bennett affiliated with any hospitals?

According to CMS data, Nicole Bennett is affiliated with Touchette Regional Hospital Inc.

When was this NPI record last updated?

The NPPES record for Nicole Bennett was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.