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DR. BISONA YEBA BENNETT DNP, APRN, FNP-C
NPI 1689083750
Nurse Practitioner in St Augustine, FL

Active since August 04, 2014PECOS Enrolled
305 KINGSLEY LAKE DR STE 703, ST AUGUSTINE, FL 32092(904) 800-4003(904) 800-5003 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Aug 9, 2019 (2 updates tracked since 2019).

About Dr. Bisona Yeba Bennett Dnp, Aprn, Fnp-c NPPES

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

DR. BISONA YEBA BENNETT DNP, APRN, FNP-C (NPI 1689083750) is an individual nurse practitioner in St Augustine, Florida, licensed in Florida (11013652) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689083750
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. BISONA YEBA BENNETTCredential: DNP, APRN, FNP-C
Location Address305 KINGSLEY LAKE DR STE 703St Augustine, FL 32092-3045
Mailing Address305 Kingsley Lake Dr Ste 703St Augustine, FL 32092-3045 · (904) 800-4003 · Fax (904) 800-5003
Phone(904) 800-4003
Fax(904) 800-5003
Sole ProprietorNo
Enumeration DateAugust 4, 2014
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1689083750 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 FL · 11013652
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.
305 KINGSLEY LAKE DR STE 703, St Augustine, FL 32092
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Other Names 1

Former Name (1)Dr. Bisona Yeba Titalanga Dnp, Aprn, Fnp-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bisona Yeba Bennett Dnp, Aprn, Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

VISTA WELLNESS, LLC
Nurse Practitioner
305 KINGSLEY LAKE DR STE 703
ST AUGUSTINE, FL 32092
St. Johns County (904) 800-4003

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 Bisona Bennett's NPI number?

The NPI number for Bisona Bennett is 1689083750. It was assigned to this individual provider in the NPPES registry on August 4, 2014. The provider is also known as Dr. Bisona Yeba Titalanga Dnp, Aprn, Fnp-C.

Where is Bisona Bennett located?

Bisona Bennett practices at 305 Kingsley Lake Dr Ste 703, St Augustine, FL 32092. The listed phone number is (904) 800-4003.

What is Bisona Bennett's specialty?

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

Is Bisona Bennett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bisona Bennett was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.