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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA CLINTON BENNETT
NPI 1902795297
Physician Assistant in Louisville, KY

Active since July 01, 2025PECOS Enrolled
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 26, 2026, Jul 1, 2025 (2 updates tracked since 2025).

About Tina Clinton Bennett NPPES

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

TINA CLINTON BENNETT (NPI 1902795297) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (TC058) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902795297
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA CLINTON BENNETT
Location Address200 E CHESTNUT ST STE 303Louisville, KY 40202-1831
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 629-5552
Fax(502) 629-3132
Sole ProprietorNo
Enumeration DateJuly 1, 2025
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1902795297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · TC058
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 E CHESTNUT ST STE 303, Louisville, KY 40202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Clinton Bennett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $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.

CHARITY ANN BATMAN APRN
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
DAVID RYAN CHAPMAN
Family Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
MELISSA M. WITT ARNP
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
HALA KARNIB M.D.
Internal Medicine (Pulmonary Disease)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-4409
TERESA BERNADETTE FINKE-MORELAND M.D.
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
MARK ANTHONY GARDON II
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
CANDACE MIDDLETON-COMBS APRN, FNP-C
Nurse Practitioner (Family)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
SHANNON O'HARA MD
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552

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 Tina Bennett's NPI number?

The NPI number for Tina Bennett is 1902795297. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Tina Bennett located?

Tina Bennett practices at 200 E Chestnut St Ste 303, Louisville, KY 40202. The listed phone number is (502) 629-5552.

What is Tina Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tina Bennett enrolled in Medicare?

Yes. Tina Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Bennett was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.