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ERIN BENNETT MSN, APRN, FNP-BC
NPI 1790181816
Nurse Practitioner in Clearlake, CA

Active since November 17, 2014PECOS EnrolledAccepts Medicare Assignment
15230 LAKESHORE DR STE 103, CLEARLAKE, CA 95422(707) 995-4545(707) 995-4543 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Nov 9, 2020 (2 updates tracked since 2020).

About Erin Bennett Msn, Aprn, Fnp-bc NPPES

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

ERIN BENNETT MSN, APRN, FNP-BC (NPI 1790181816) is an individual nurse practitioner in Clearlake, California, licensed in California (9501509) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kelseyville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790181816
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIN BENNETTCredential: MSN, APRN, FNP-BC
Location Address15230 LAKESHORE DR STE 103Clearlake, CA 95422-8107
Mailing Address9320 Kelsey Creek DrKelseyville, CA 95451-8031 · (707) 355-0115
Phone(707) 995-4545
Fax(707) 995-4543
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 17, 2014
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1790181816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 9501509
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95029013 (CA)
15230 LAKESHORE DR STE 103, Clearlake, CA 95422
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Secondary Practice Location 1

Location 19320 Kelsey Creek DrKelseyville, CA 95451-8031 · Phone (707) 355-0115

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

Erin Bennett Msn, Aprn, Fnp-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 ID446668099
PECOS Enrollment IDI20250403003039
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 Reassignment

Medicare enrollment records show Erin Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Health Clearlake Hospital Inc.
1.1 mi
Critical Access
15630 18TH AVE
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1124018031 (707) 994-6486

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 95422 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Erin Bennett's NPI number?

The NPI number for Erin Bennett is 1790181816. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Erin Bennett located?

Erin Bennett practices at 15230 Lakeshore Dr Ste 103, Clearlake, CA 95422. The listed phone number is (707) 995-4545.

What is Erin Bennett's specialty?

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

Is Erin Bennett enrolled in Medicare?

Yes. Erin 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 organization bills Medicare for Erin Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Bennett reassigns Medicare benefits to Adventist Health Clearlake Hospital Inc. (Clearlake, CA). The 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 Erin 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 Erin Bennett was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.