Carli Mae Bennett, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F355412-01 Issued in NY

Practice address

135 N Union St
Olean, NY 14760-2736

Phone

(716) 375-7500

NPI assigned

Nov 8, 2024

Last updated

Oct 24, 2025By 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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carli.bennett@sthc.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.

• Southern Tier Community Health Center Network, Inc.

  dba Universal Primary Care

  • Federally Qualified Health Center (FQHC)
  • Olean, NY
  • NPI 1184654477
  Medicare reassignment NPD
• Southern Tier Community Health Center Network, Inc.

  dba Universal Primary Care

  • Dental Clinic/Center
  • Bradford, PA
  • NPI 1962399394
  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1649094541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167014933",
            "telephone_number": "814-331-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-375-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011013",
            "country_code": "US",
            "telephone_number": "716-375-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CARLI",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F355412-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Batt, MD
• Michele Baum, COTA
• Michal Baxter
• Elizabeth Bean
• Cynthia Beatty, L.P.N.
• Susan Leah Bennett, DC
• Cheryl Lynn Benson, LMT
• Mary E Bentley, SLP
• Phyllis Christine Bessey, NP
• Mary Margaret Beyth, RN

• Nurse Practitioner in Olean, NY
• Providers in Olean, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.