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EBONIQUE T BENNETT NP
NPI 1972871523
Nurse Practitioner - Adult Health in Waldorf, MD

Active since December 11, 2011PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
10 SAINT PATRICKS DR, WALDORF, MD 20603(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2021, Aug 10, 2017 (2 updates tracked since 2017).

About Ebonique T Bennett Np NPPES

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

EBONIQUE T BENNETT NP (NPI 1972871523) is an individual adult health provider in Waldorf, Maryland, licensed in New York (305905) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972871523
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameEBONIQUE T BENNETTCredential: NP
Location Address10 SAINT PATRICKS DRWaldorf, MD 20603-4527
Mailing Address10 Saint Patricks DrWaldorf, MD 20603-4527 · (301) 373-7900 · Fax (301) 373-6900
Phone(301) 373-7900
Fax(301) 373-6900
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 11, 2011
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1972871523 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 NY · 305905
10 SAINT PATRICKS DR, Waldorf, MD 20603
Open in Google Maps ↗

Other Identifiers 1

Medicaid840027000MD

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

Ebonique T Bennett Np 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 ID4981856804
PECOS Enrollment IDI20191011000205, I20201029001369
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
621 services522 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
532 services503 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
239 services239 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
64 services63 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
34 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Promoting Interoperability96
Improvement Activities40
Cost74.97

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.

MR. MOENIL PATEL
Nurse Practitioner (Family)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
MR. DAVID GROSSMAN P.T.
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-6717
CHRISTOPHER TODD WOGAMON LAT, ATC
Specialist/Technologist (Athletic Trainer)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (240) 561-2933
FIRAS AL SAMMARRAI M.B.CH.B.
Internal Medicine (Nephrology)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
DR. ALEX RYZHIKOV MD
Internal Medicine (Cardiovascular Disease)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 705-7870
KATELYN SOUTHWICK DPT
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-7366
CHRISTINA LIN MD
Pain Medicine (Interventional Pain Medicine)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
ROHIT V PATIL
Urology
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900

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 Ebonique Bennett's NPI number?

The NPI number for Ebonique Bennett is 1972871523. It was assigned to this individual provider in the NPPES registry on December 11, 2011.

Where is Ebonique Bennett located?

Ebonique Bennett practices at 10 Saint Patricks Dr, Waldorf, MD 20603. The listed phone number is (301) 373-7900.

What is Ebonique Bennett's specialty?

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

Is Ebonique Bennett enrolled in Medicare?

Yes. Ebonique 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.

When was this NPI record last updated?

The NPPES record for Ebonique Bennett was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.