Individual provider Active NPI

Dana Bennett, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Natchitoches, LA
National Provider Identifier
1740909365
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
226665 Issued in LA
Practice address
627 Bienville Cir
Natchitoches, LA 71457-5744
Phone
(318) 238-3652
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 226665 LA Primary

Addresses

Primary practice location

627 Bienville Cir
Natchitoches, LA 71457-5744

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 214-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230801002571 LA Practitioner - Nurse Practitioner 4880055235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NRMC Physician Ipa IncGroup PAC ID 9234400300, 30 clinicians

Practice addresses (Care Compare)

627 Bienville Cir
Natchitoches, LA 71457-5744
Phone (318) 214-5773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226665LAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NRMC Physician Ipa Inc CurrentSince Apr 28, 2023 Accepting new patients
NRMC Physician Ipa Inc CurrentSince Apr 28, 2023 Accepting new patients
NRMC Physician Ipa Inc Current Accepting new patients
NRMC Physician Ipa Inc Past Accepting new patients

Locations

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1740909365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-214-5770",
            "fax_number": "318-214-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575744",
            "telephone_number": "318-238-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "LA",
            "license": "226665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.