Danielle M Bennett, RN
Individual provider Active NPI Family Nurse Practitioner · Fort Scott, KS
NPI 1164031936 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1164031936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 81284 (KS)
- Practice address
- 2322 S Main St
Fort Scott, KS 66701-3026 - Phone
- (620) 223-8040
- Fax
- (620) 231-5062
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Southeast Kansas Inc
Practice addresses (Care Compare)
1017 E Market St
La Cygne, KS 66040-9102
Phone (913) 757-4575
11155 Tucker Rd
Pleasanton, KS 66075-8401
Phone (913) 352-8379
2051 N State St
Iola, KS 66749-1677
Phone (620) 380-6600
2322 S Main St
Fort Scott, KS 66701-3026
Phone (622) 022-3804
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
3015 N Michigan St
Pittsburg, KS 66762-2546
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720003692 | KS | Practitioner - Nurse Practitioner | 1153702246 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-105182-011 | KS | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas, Inc. | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Past | Accepting new patients | |
| Building Health Inc. | Past |
Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients |
Locations
601 E Washington St
Arma, KS 66712
Phone (620) 347-4033
2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900
801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300
102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989
101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101
2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135
312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988
3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260
2051 N State St
Iola, KS 66749
Phone (620) 380-6400
203 N Kentucky St
Iola, KS 66749
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203
2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788
1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160
1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896
11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110
Interoperability endpoints
- danielle.bennett@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 13-105182-011 | KS | |
| Family Nurse Practitioner | 363LF0000X | 81284 | KS | Yes |
Addresses
Primary practice location
2322 S Main St
Fort Scott, KS 66701-3026
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-9873
Other providers in Fort Scott, KS
- Erin Bahr
- Malinda R Bailey
- Eric D Baldonado
- Michael Brian Becker
- Charles Vincent Begulia Jr.
- Kaley Nicole Binford
- Bio-Medical Applications of Kansas, Inc.
- Janice J Boge
- Bradbury Therapy Consultants, LLC
- Katricia Bradbury
All providers in Fort Scott, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.