Justin M Bennett, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04254 Issued in LA

Practice address

567 Walker St
Merryville, LA 70653-3040

Phone

(337) 825-1728

Fax

(337) 825-1229

NPI assigned

Aug 26, 2005

Last updated

Oct 17, 2019By the provider in NPPES

Sex

Male

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 LA

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winn Community Health Center, Inc.Group PAC ID 2567516545, 56 clinicians

Iberia Comprehensive Community Health Center,Inc.Group PAC ID 6204817828, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.bennett@lincolnchc.eclinicaldirectplus.com

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.

• Iberia Comprehensive Community Health Center,Inc.

  • Federally Qualified Health Center (FQHC)
  • New Iberia, LA
  • NPI 1922046549
  Medicare reassignment Care Compare group NPD
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment Care Compare group NPD
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513
  Medicare reassignment NPD
• Iberia Comprehensive Community Health Center, Inc.

  dba DeRidder Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Deridder, LA
  • NPI 1457235368
  NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  dba Grant Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Colfax, LA
  • NPI 1740601418
  NPD
• St Francis Medical Group LLC

  • Internal Medicine Physician
  • Monroe, LA
  • NPI 1134405087
  NPD (past)
• Winn Community Health Center, Inc.

  dba Acadian Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1518589456
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No 1 of Iberia Parish

  dba Iberia Medical Center

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925
  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  dba Iberia Medical Center

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088
  Care Compare affiliation

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1386637155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-365-4945",
            "fax_number": "337-376-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 WALKER ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533040",
            "telephone_number": "337-825-1728",
            "fax_number": "337-825-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18740 Highway 22",
            "address_purpose": "LOCATION",
            "city": "Maurepas",
            "state": "LA",
            "postal_code": "704493018",
            "country_code": "US",
            "telephone_number": "225-698-3435",
            "fax_number": "225-698-6446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705605727",
            "country_code": "US",
            "telephone_number": "337-365-4945",
            "fax_number": "337-376-6860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Charity St",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705105302",
            "country_code": "US",
            "telephone_number": "337-893-3443",
            "fax_number": "337-893-3439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Dernier St",
            "address_purpose": "LOCATION",
            "city": "Saint Martinville",
            "state": "LA",
            "postal_code": "705823809",
            "country_code": "US",
            "telephone_number": "337-342-2566",
            "fax_number": "337-342-2533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "298 Nolan Trace Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "71446",
            "country_code": "US",
            "telephone_number": "337-392-0110",
            "fax_number": "337-392-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Amburn, FNP-C
• Rachel Branch
• Harbor Oasis, LLC
• Christie Harrington, APRN, FNP-C
• Marilyn Hieronymus
• Iberia Comprehensive Community Health Center,Inc. (Merryville Community Health Center)

• Family Nurse Practitioner in Merryville, LA
• Providers in Merryville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.