NPIMap

Individual provider Active NPI

Robert Bennetto, FNP-C

  • Family Nurse Practitioner
  • Shepherd, MT
National Provider Identifier
1528849064
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-219559 Issued in MT
Practice address
7814 Buckskin Dr
Shepherd, MT 59079-4521
Phone
(406) 500-1859
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-219559 MT Primary

Addresses

Primary practice location

7814 Buckskin Dr
Shepherd, MT 59079-4521

Mailing address

PO Box 101
Shepherd, MT 59079-0101
Phone (406) 500-1859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004003358 MT Practitioner - Nurse Practitioner 9234660929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health MontanaGroup PAC ID 3476457714, 38 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

1041 N 29TH St
Billings, MT 59101-0731
Phone (303) 237-5577

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-219559MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jan 13, 2026 Accepting new patients
SCL Health Montana CurrentSince Jan 13, 2026 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Sep 25, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Jan 13, 2026 Accepting new patients
Billings Clinic CurrentSince Sep 25, 2024 Accepting new patients
SCL Health Montana CurrentSince Jan 13, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1528849064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "SHEPHERD",
            "state": "MT",
            "postal_code": "590790101",
            "telephone_number": "406-500-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 BUCKSKIN DR",
            "city": "SHEPHERD",
            "state": "MT",
            "postal_code": "590794521",
            "telephone_number": "406-500-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETTO",
        "first_name": "ROBERT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-219559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherd, MT

Sources for this page

Verify at the official NPI Registry.