MRS. KINNEATHEA DENISHA BENNETT NURSE PRACTITIONER
NPI 1902346141
Nurse Practitioner - Adult Health in San Antonio, TX

Q: What is Kinneathea Bennett's NPI number?

The NPI number for Kinneathea Bennett is 1902346141. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Q: What is Kinneathea Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment

5414 FREDERICKSBURG RD STE 100A, SAN ANTONIO, TX 78229(210) 468-0800(210) 733-8649 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2022, Feb 7, 2022, Apr 30, 2019 and 3 more (6 updates tracked since 2017).

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About Mrs. Kinneathea Denisha Bennett Nurse Practitioner NPPES

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

MRS. KINNEATHEA DENISHA BENNETT NURSE PRACTITIONER (NPI 1902346141) is an individual adult health provider in San Antonio, Texas, licensed in Texas (AP133353) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Sam Houston, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902346141

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. KINNEATHEA DENISHA BENNETTCredential: NURSE PRACTITIONER

Location Address5414 FREDERICKSBURG RD STE 100ASan Antonio, TX 78229-3641

Mailing Address500 Kirts Blvd Ste 100Troy, MI 48084-4135 · (248) 824-6623 · Fax (866) 618-6655

Phone(210) 468-0800

Fax(210) 733-8649

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 7, 2017

Last NPPES UpdateSeptember 29, 20226 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1902346141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · AP133353

5414 FREDERICKSBURG RD STE 100A, San Antonio, TX 78229

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Secondary Practice Location 1

Location 13551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 916-0883 · Fax (210) 539-8633

Other Identifiers 2

Medicaid370823204TX

OtherAG0117008TX · American Academy Of Nurse Practitioners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Kinneathea Denisha Bennett Nurse Practitioner 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 ID3971870684

PECOS Enrollment IDI20170601000256

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

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

Vpa Of Texas PLLC

Same address

Family Medicine

5414 FREDERICKSBURG RD STE 100A
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
802 clinicians in this Medicare group

NPI 1174561575 (210) 468-0800

Advanced Internal Medicine Practice PLLC

5.4 mi

Internal Medicine

1418 WALKERS WAY STE 101
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1295299808 (210) 245-7933

Regency Ihs Nps LLC

108 mi

Nurse Practitioner

1908 N LAURENT ST STE 250
Victoria, TX 77901

Reassigned Medicare billing, Texas enrollment
8 clinicians in this Medicare group

NPI 1619432986 (361) 576-0694

Applebaum Physiatry PLLC

1,037 mi

Physical Medicine & Rehabilitation

2013 MIDWEST RD
Oak Brook, IL 60523

Reassigned Medicare billing, Texas enrollment
31 clinicians in this Medicare group

NPI 1700598059 (630) 495-0220

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 78229 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 10

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

DANIELLE MARIE FLORES APRN

Nurse Practitioner (Gerontology)