SHELBY LEIGH BENNETT PA
NPI 1942074711
Physician Assistant - Medical in Madras, OR

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2024, Dec 18, 2024, Sep 15, 2024 and 1 more (4 updates tracked since 2023).

About Shelby Leigh Bennett Pa NPPES

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

SHELBY LEIGH BENNETT PA (NPI 1942074711) is an individual medical provider in Madras, Oregon, licensed in Oregon (PA222574) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942074711
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHELBY LEIGH BENNETTCredential: PA
Location Address83 SW K STMadras, OR 97741-1046
Mailing Address83 Sw K StMadras, OR 97741-1046 · (503) 506-0474
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateDecember 23, 20244 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1942074711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in OR · PA222574 Licensed in CA · PA64972
83 SW K ST, Madras, OR 97741

Accepted 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

Shelby Leigh Bennett Pa 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 ID5496275380
PECOS Enrollment IDI20250221002944
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.

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 Shelby Bennett's NPI number?

The NPI number for Shelby Bennett is 1942074711. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Shelby Bennett located?

Shelby Bennett practices at 83 SW K St, Madras, OR 97741. The listed phone number is (503) 506-0474.

What is Shelby Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shelby Bennett enrolled in Medicare?

Yes. Shelby 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.

What insurance does Shelby Bennett accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shelby 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 Shelby Bennett was last updated on December 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.