Elizabeth N Bennett, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP0005387H Issued in PA

Practice address

125 W School House LN
Philadelphia, PA 19144-3348

Phone

(215) 844-8806

NPI assigned

May 20, 2009

Last updated

May 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

State licenses

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.

• Beaumont Retirement Services, Inc.

  • Clinic/Center
  • Bryn Mawr, PA
  • NPI 1346498532
  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA

  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  PA

  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newark, DE
  • NPI 1033376231

  PA

  Medicare reassignment
• NJ Pacs 2 PA

  • Hospitalist Physician
  • Mendham, NJ
  • NPI 1740766195

  PA

  Medicare reassignment
• Sage Health and Continence Care Inc

  • Gerontology Nurse Practitioner
  • Newtown Square, PA
  • NPI 1851610372
  Authorized official Same address or phone
• Beaumont Retirement Services, Inc

  dba Beaumont at Bryn Mawr

  • Skilled Nursing Facility
  • Bryn Mawr, PA
  • NPI 1952308942
  NPD
• Crossroads Hospice of Philadelphia, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1245947589
  NPD
• Compassionate Care Hospice of Gwynedd, Inc.

  • Community Based Hospice Care Agency
  • Bensalem, PA
  • NPI 1407859978
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1376778340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MANSION RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733406",
            "telephone_number": "610-356-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W SCHOOL HOUSE LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443348",
            "telephone_number": "215-844-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ELIZABETH",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP0005387H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrington Alexander Bennett, MD
• Colleen Elizabeth Bennett, M.D.
• Daaimah Jennell Bennett
• David S Bennett, PHD
• Debra Lynn Bennett, LCSW
• Frederick Christian Bennett, MD
• George R Bennett, OD
• Jajuan Bennett
• Kevin Donnell Bennett, LCSW
• Laura Bennett, APN

• Gerontology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.