Active NPI
Regina Bennett, APN
- Acute Care Nurse Practitioner
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- A005962
- Practice address
- 1 Medical Park Dr
Benton, AR 72015-3353 - Phone
- (501) 574-7130
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | A005962 | AR | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Benton, AR 72015-3353
Mailing address
1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 574-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Medical Park Dr
Suite 304
Benton, AR 72015-3745
Phone (501) 408-2429
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005962 | AR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saline Clinics LLC | Current | Accepting new patients | |
| Inpatient Solutions | Current | Accepting new patients | |
| First Docs LLC | Current | Accepting new patients | |
| Daiya Healthcare PLLC | Current | Accepting new patients | |
| Mercer Bucks Medical Associates, P.C. | Past | Accepting new patients |
Locations
5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
1636 Higdon Ferry Rd
#301
Hot Springs, AR 71913
1636 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 520-2000
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
Interoperability endpoints
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Benton, AR
- NPI 1750927109
-
- Gastroenterology Physician
- Benton, AR
- NPI 1447609367
-
- Internal Medicine Physician
- Levittown, PA
- NPI 1952485971
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1417333188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720153353",
"telephone_number": "501-574-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720153353",
"telephone_number": "501-574-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "REGINA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "A005962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.