Heidi Leea Bennett, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0002477 Issued in CO

Practice address

3030 N Circle Dr Ste 210
Colorado Springs, CO 80909

Phone

(719) 228-9440

Fax

(719) 228-9061

NPI assigned

Sep 2, 2006

Last updated

Jun 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Hull Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Interventional Pain Management PCGroup PAC ID 7517933658, 3 clinicians

Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Colorado Springs Interventional Pain Management PC

  • Pain Medicine (Anesthesiology) Physician
  • Colorado Springs, CO
  • NPI 1215097175
  Medicare reassignment Care Compare group
• Mountain View Medical Group, PC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1295787703
  NPD (past)

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

• Uchealth Pikes Peak Regional Hospital

  • Critical Access Hospital
  • Woodland Park, CO
  • NPI 1275703910
  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1487756243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4659",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034659",
            "telephone_number": "805-544-7246",
            "fax_number": "805-782-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-228-9440",
            "fax_number": "719-228-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "HEIDI",
        "middle_name": "LEEA",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0002477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HULL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annika S Bennett-Toussaint
• Carol Jean Bennett, RD
• Cedar Wray Bennett
• Cedrice Bennett
• Daniel Bennett, DPT
• Mackenna Bennett
• Mariah Lynn Bennett
• Mark Daniel Bennett, O.D.
• Michelle Bennett
• Philip R Bennett, PSYD

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.