MARK RICHARD BENNETT JR.
NPI 1871955435
Nurse Anesthetist, Certified Registered in Manchester, IA

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
709 W MAIN ST, MANCHESTER, IA 52057(563) 822-1435(563) 822-1436 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2019, Aug 29, 2018, Mar 23, 2016 (3 updates tracked since 2016).

About Mark Richard Bennett Jr. NPPES

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

MARK RICHARD BENNETT JR. (NPI 1871955435) is an individual nurse anesthetist, certified registered in Manchester, Iowa, licensed in Iowa (D131948) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Iowa City, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2018).

NPPES Registry Identity

NPI1871955435
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK RICHARD BENNETT JR.
Location Address709 W MAIN STManchester, IA 52057-1526
Mailing Address709 W Main StManchester, IA 52057-1526 · (563) 822-1435 · Fax (563) 822-1436
Fax(563) 822-1436
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2018
Enumeration DateMarch 23, 2016
Last NPPES UpdateFebruary 19, 20193 updates tracked since enumeration
✔ NPI 1871955435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · D131948
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
709 W MAIN ST, Manchester, IA 52057

Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-2633 · Fax (319) 356-2940

Accepted 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

Mark Richard Bennett Jr. 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 ID6608124367
PECOS Enrollment IDI20250306002053
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

12

Medicare enrollment records show Mark Bennett reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
312 9TH ST SW
Waverly, IA 50677
  • Reassigned Medicare billing, Iowa enrollment
  • 38 clinicians in this Medicare group
Anesthesiology
404 JEFFERSON ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • 23 clinicians in this Medicare group
General Acute Care Hospital
2000 S CLOVER DR
Moses Lake, WA 98837
  • Reassigned Medicare billing, Washington enrollment
  • 158 clinicians in this Medicare group
Rural Health
529 JASMINE ST
Omak, WA 98841
  • Reassigned Medicare billing, Washington enrollment
  • 179 clinicians in this Medicare group
Critical Access
507 HOSPITAL WAY
Brewster, WA 98812
  • Reassigned Medicare billing, Washington enrollment
  • 238 clinicians in this Medicare group
Rural Health
110 S APPLE BLOSSOM DR
Chelan, WA 98816
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1578568853 (Washington)
  • 154 clinicians in this Medicare group
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1007 HARLOW RD STE 110
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 21 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2445 BEVERLY ST
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 28 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 52057 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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.

Social Worker (Clinical)
709 W MAIN ST
MANCHESTER, IA 52057
Family Medicine
709 W MAIN ST
MANCHESTER, IA 52057
Family Medicine
709 W MAIN ST
MANCHESTER, IA 52057
Social Worker (Clinical)
709 W MAIN ST
MANCHESTER, IA 52057
Nurse Practitioner (Family)
709 W MAIN ST
MANCHESTER, IA 52057
Nurse Practitioner (Family)
709 W MAIN ST
MANCHESTER, IA 52057
Durable Medical Equipment & Medical Supplies
709 W MAIN ST
MANCHESTER, IA 52057
Family Medicine
709 W MAIN ST
MANCHESTER, IA 52057

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 Mark Bennett's NPI number?

The NPI number for Mark Bennett is 1871955435. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Mark Bennett located?

Mark Bennett practices at 709 W Main St, Manchester, IA 52057. The listed phone number is (563) 822-1435.

What is Mark Bennett's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mark Bennett enrolled in Medicare?

Yes. Mark 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 Mark Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bennett reassigns Medicare benefits to 12 organizations: Waverly Health Center (Waverly, IA), Anesthesia Iowa Plc (Pella, IA), Grant County Public Hospital District 1 (Moses Lake, WA), Okanogan County Public Hospital District No. 3 (Omak, WA), Okanogan Douglas County Hospital Dist 1 (Brewster, WA) and 7 more organizations, listed in the Medicare section above. 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 Mark Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Bennett accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Bennett was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.