Individual provider Active NPI

Jonathan C Bennett, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1740228501
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP112158 Issued in TX
Practice address
10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone
(915) 595-9000
NPI assigned
Jun 3, 2006
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9181218 FL
Certified Registered Nurse Anesthetist 367500000X 2946 CA
Certified Registered Nurse Anesthetist 367500000X AP112158 TX Primary

Addresses

Primary practice location

10301 Gateway Blvd W
El Paso, TX 79925-7701

Mailing address

1 Tampa General Cir Ofc
Suite A327
Tampa, FL 33606-3571
Phone (813) 844-4434

Other identifiers 3

IdentifierTypeStateIssuer
G3173OtherFLBCBS FLORIDA
G3173MOtherFLMEDICARE
305016500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040902000906 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810963782 Reassigns benefits to 1 organization
I20101116000535 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810963782
I20210408000207 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810963782 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP112158TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 10, 2013 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2023 Accepting new patients
Hancock Physician Network, LLC CurrentSince Aug 22, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Apr 6, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2013 Accepting new patients
Aas Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Apr 6, 2021 Accepting new patients
Indiana Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Physicians Anesthesia Service Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Palm Springs Anesthesia Services, PC Past Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
American Anesthesiology Associates of Florida, Inc. Past Accepting new patients
Anesthesiologist Associates PA Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Wolverine Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Unicom Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Toledo Radiological Associates, Inc. Past Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients
Universtiy Anesthesia Assoc., Inc. Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

5819 Reliable Pkwy
Chicago, IL 60686

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

11650 Olio Rd
Ste 1000389
Fishers, IN 46037
Phone (317) 250-7508

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1740228501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR OFC",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-4434",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9181218",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2946",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP112158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "G3173",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G3173M",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305016500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.