Individual provider Active NPI

Kaye Lynn Bennett, ARNP

  • Women's Health Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1487746863
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9168680 Issued in FL
Practice address
3390 Tamiami TRL Ste 102
Port Charlotte, FL 33952-8161
Phone
(941) 625-5855
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9168680 FL Primary

Addresses

Primary practice location

3390 Tamiami TRL Ste 102
Port Charlotte, FL 33952-8161

Mailing address

1086 Harbour Green Rd
Punta Gorda, FL 33983-6530
Phone (941) 624-6555

Other practice location 1

3400 Tamiami Trl Ste 102
Port Charlotte, FL 33952-8102
Phone (941) 625-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050607000487 FL Practitioner - Nurse Practitioner 9537102934

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2439 Bee Ridge Rd
Sarasota, FL 34239-6304

PO Box
Suite 5556
Belfast, ME 04915-5500

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9168680FLMDWomen's Health Nurse Practitioner

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Sarasota OB GYN Associates, PA CurrentSince Jun 1, 2023 Accepting new patients
Womencare PA Past Accepting new patients

Locations

4764 E State Road 64
Bradenton, FL 34208
Phone (941) 343-0609

3410 Tamiami Trl
Unit 1A
Port Charlotte, FL 33952
Phone (941) 343-0609

3400 Tamiami Trl
Ste 102
Pt Charlotte, FL 33952
Phone (941) 625-5855

2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609

411 Commercial Ct
Ste F
Venice, FL 34292
Phone (941) 343-0609

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kaye.bennett.2@2183.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1487746863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 HARBOUR GREEN RD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836530",
            "telephone_number": "941-624-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL STE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528161",
            "telephone_number": "941-625-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Tamiami Trl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528102",
            "country_code": "US",
            "telephone_number": "941-625-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KAYE",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9168680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.