MRS. JESSICA MARTINEZ BENNETT FNP-C
NPI 1689236622
Nurse Practitioner - Family in Jbsa Lackland, TX

Active since June 29, 2019PECOS Enrolled
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(210) 292-7331 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jessica Martinez Bennett Fnp-c NPPES

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

MRS. JESSICA MARTINEZ BENNETT FNP-C (NPI 1689236622) is an individual family provider in Jbsa Lackland, Texas, licensed in Texas (AP141780) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689236622
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA MARTINEZ BENNETTCredential: FNP-C
Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · (210) 292-7331
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 29, 2019
Last NPPES UpdateFebruary 27, 2020
NPI 1689236622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP141780
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236

Accepted 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)

Mrs. Jessica Martinez Bennett Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971964776
PECOS Enrollment IDI20230726001830
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 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 78236
Optometrist
1100 WILFORD HALL LOOP, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Dermatology
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP, BLDG 4554
JBSA LACKLAND, TX 78236
Physician Assistant (Medical)
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 78236
Physician Assistant
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
General Practice
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689236622, enumerated as an "individual" on June 29, 2019.

The provider is located at 1100 WILFORD HALL LOOP JBSA LACKLAND, TX 78236 and the phone number is (210) 292-7331.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.