MRS. POLLY BENNETT CORDOVA CNM
NPI 1922004449
Advanced Practice Midwife in Dallas, TX

Active since June 21, 2005PECOS Enrolled
90.13/100
CMS Quality Rating
5201 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-1396(214) 590-1401 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Polly Bennett Cordova Cnm NPPES

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

MRS. POLLY BENNETT CORDOVA CNM (NPI 1922004449) is an individual advanced practice midwife in Dallas, Texas, licensed in Texas (616284) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922004449
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. POLLY BENNETT CORDOVACredential: CNM
Location Address5201 HARRY HINES BLVDDallas, TX 75235-7708
Mailing Address5201 Harry Hines BlvdDallas, TX 75235-7708 · (214) 590-1396 · Fax (214) 590-1401
Fax(214) 590-1401
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 8, 2009
NPI 1922004449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in TX · 616284
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

5201 HARRY HINES BLVD, Dallas, TX 75235

Other Names 1

Former Name (1)Ms. Polly A Bennett Cnm

Other Identifiers 3

Medicare UPINP08698TX
Medicaid037046202TX
Medicare PIN8A6249TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Polly Bennett Cordova Cnm 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 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

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.

Clinical Nurse Specialist (Psychiatric/Mental Health)
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922004449, enumerated as an "individual" on June 21, 2005.

The provider is located at 5201 HARRY HINES BLVD DALLAS, TX 75235 and the phone number is (214) 590-1396.

Advanced Practice Midwife with taxonomy code 367A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.