Individual provider Active NPI

Chenel Bennett, RN

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1245622661
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349532 Issued in NY
Practice address
326 E 149TH St
Bronx, NY 10451-5602
Phone
(646) 680-5200
NPI assigned
Feb 22, 2015
Reactivated
Aug 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 689543 NY
Family Nurse Practitioner 363LF0000X 349532 NY Primary

Addresses

Primary practice location

326 E 149TH St
Bronx, NY 10451-5602

Mailing address

326 E 149TH St
Bronx, NY 10451-5602
Phone (646) 680-5200

Other practice location 1

2044 Westchester Ave
Bronx, NY 10462-4559
Phone (646) 680-5200

Other practice location 2

932 Southern Blvd
Bronx, NY 10459-4506
Phone (646) 680-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20220901001272 NY Practitioner - Nurse Practitioner 4880078377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

600 E 233Rd St
Bronx, NY 10466-2604
Phone (718) 920-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
689543NYMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Siuc Medical PC CurrentSince Aug 15, 2022 Accepting new patients
1211 WPR Medical Services PC CurrentSince Aug 15, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Oct 1, 2023 Accepting new patients

Locations

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: cbennett@montefioredirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1245622661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "646-680-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "646-680-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104624559",
            "country_code": "US",
            "telephone_number": "646-680-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104594506",
            "country_code": "US",
            "telephone_number": "646-680-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHENEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-22",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "deactivation_date": "2015-07-24",
        "reactivation_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "689543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.