MR. SHANE BENNETT ARNP
NPI 1780198168
Nurse Practitioner in Tampa, FL

Active since November 21, 2017PECOS EnrolledAccepts Medicare Assignment
2106 S LOIS AVE, TAMPA, FL 33629(813) 844-4200 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Mr. Shane Bennett Arnp NPPES

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

MR. SHANE BENNETT ARNP (NPI 1780198168) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (ARNP9323265) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780198168
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. SHANE BENNETTCredential: ARNP
Location Address2106 S LOIS AVETampa, FL 33629-5659
Mailing Address2106 S Lois AveTampa, FL 33629-5659 · (813) 844-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 21, 2017
Last NPPES UpdateJanuary 11, 20182 updates tracked since enumeration
✔ NPI 1780198168 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 · ARNP9323265
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.
2106 S LOIS AVE, Tampa, FL 33629

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

Mr. Shane Bennett Arnp 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 ID9234490616
PECOS Enrollment IDI20180227001990
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

4

Medicare enrollment records show Shane Bennett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
4730 N HABANA AVE STE 104
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 151 clinicians in this Medicare group
Infectious Disease
5979 VINELAND RD STE 109
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
  • 208 clinicians in this Medicare group
Infectious Disease
5979 VINELAND RD STE 109
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
  • 110 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Florida enrollment
  • 517 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33629 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 20

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

Family Medicine
2106 S LOIS AVE
TAMPA, FL 33629
Nurse Practitioner (Family)
2106 S LOIS AVE
TAMPA, FL 33629
Family Medicine
2106 S LOIS AVE
TAMPA, FL 33629
Physical Therapist (Orthopedic)
2106 S LOIS AVE
TAMPA, FL 33629
Family Medicine
2106 S LOIS AVE, FL 2
TAMPA, FL 33629
Nurse Practitioner
2106 S LOIS AVE
TAMPA, FL 33629
Family Medicine
2106 S LOIS AVE
TAMPA, FL 33629
Emergency Medicine
2106 S LOIS AVE
TAMPA, FL 33629

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 Shane Bennett's NPI number?

The NPI number for Shane Bennett is 1780198168. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Shane Bennett located?

Shane Bennett practices at 2106 S Lois Ave, Tampa, FL 33629. The listed phone number is (813) 844-4200.

What is Shane Bennett's specialty?

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

Is Shane Bennett enrolled in Medicare?

Yes. Shane 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 Shane Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Bennett reassigns Medicare benefits to 4 organizations: Florida Pain Relief Group PLLC (Tampa, FL), Wound Technology Network Inc (Orlando, FL), Wt Health Of Florida LLC (Orlando, FL) and Minuteclinic LLC (Rockville, MD). 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 Shane Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Bennett was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.