Krista Lynn Bennett, APRN
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Trinity, FL
NPI 1245439793 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1245439793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- APRN9189989 (FL)
- Practice address
- 2043 Little Rd
Trinity, FL 34655 - Phone
- (727) 846-7000
- NPI assigned
- Jul 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health First Privia Medical Group
Practice addresses (Care Compare)
2043 Little Rd
Trinity, FL 34655-4421
Phone (727) 846-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20071013000036 | FL | Practitioner - Nurse Practitioner | 6406942978 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9189989 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care Florida LLC | Current |
Accepting new patients | |
| Privia Medical Group Florida, LLC | Current |
Accepting new patients | |
| Womens' Health Hospitalists, LLC | Current |
Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
18596 Fernview St
Land O Lakes, FL 34638
Phone (727) 846-7000
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4150 N Armenia Ave
Ste 200
Tampa, FL 33607
Phone (813) 971-4555
13601 Bruce B Downs Blvd
Ste 321
Tampa, FL 33613
Phone (813) 615-7007
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
8763 River Crossing Blvd
Trinity, FL 34655
Phone (727) 788-4350
2043 Little Rd
Trinity, FL 34655
Phone (727) 375-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APRN9189989 | FL | Yes |
Addresses
Primary practice location
2043 Little Rd
Trinity, FL 34655
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other practice location 1
18596 Fernview St
Land O Lakes, FL 34638-6232
Phone (727) 846-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QL696 | Other | FL | HFMG MA |
Other providers in Trinity, FL
- Chad Beckstrom
- Behavior Analysis Consultants
- Brooke R Bellman
- Anaidiel Beltran
- John Kelly Bennett
- Christina Lynn Berg
- Kurt T. Besch
- Timothy Petru Beuca
- Beyond Bones Health Solutions Inc.
- Laura E Bickler
All providers in Trinity, FL · Obstetrics & Gynecology Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 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.