Jackie Dawn Bennett, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0993785-NP Issued in CO

Practice address

103 Chico CT
Monte Vista, CO 81144-1065

Phone

(719) 852-9400

Fax

(719) 852-9311

NPI assigned

Mar 26, 2018

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Medicare reassignment NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Monte Vista Rural Health Clinic of Rio Grande Hospital

  • Rural Health Clinic/Center
  • Monte Vista, CO
  • NPI 1144777566
  NPD
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Regional Medical Center Physician Services

  • Orthopaedic Surgery Physician
  • Monte Vista, CO
  • NPI 1184866410
  NPD (past)
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Health La Jara Clinic

  • Rural Health Clinic/Center
  • La Jara, CO
  • NPI 1942511019
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1174028849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 PINON VALLEY RD",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811329014",
            "telephone_number": "719-588-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHICO CT",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441065",
            "telephone_number": "719-852-9400",
            "fax_number": "719-852-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JACKIE",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-09-12",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993785-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN0162822",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Acheson
• Kyle Reed Barkdull, DO
• Laura Barr
• Better Health & Rehabilitation Services, P.C.
• Blue Peaks Developmental Services Inc.
• Talon Carver, COTA/L
• Susannah Reed Cary, DO
• Jimmy Lee Cassity, RPH

• Family Nurse Practitioner in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.