MRS. KINNEATHEA DENISHA BENNETT NURSE PRACTITIONER - NPI 1902346141

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.

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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, and ordering and referring status from the CMS PECOS system.

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.

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 9

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

DANIELLE MARIE FLORES APRN

Nurse Practitioner (Gerontology)