Brittany Benton, CNP
Individual provider Active NPI Family Nurse Practitioner · Pine Bluff, AR
NPI 1801449384 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1801449384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 121535 (AR)
- Practice address
- 1609 W 40TH Ave Ste 301
Pine Bluff, AR 71603-6366 - Phone
- (501) 219-8900
- Fax
- (501) 410-1148
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Team of Arkansas Physicians LLC
Practice addresses (Care Compare)
14524 Cantrell Rd
Suite 160
Little Rock, AR 72223-4673
Phone (501) 482-3074
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200122002775 | AR | Practitioner - Nurse Practitioner | 7315372257 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121535 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| American Current Care of Arkansas, PA | Current |
Accepting new patients |
Locations
3470 Landers Rd
North Little Rock, AR 72117
Phone (501) 319-2579
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 121535 | AR | Yes |
Addresses
Primary practice location
1609 W 40TH Ave Ste 301
Pine Bluff, AR 71603-6366
Mailing address
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900
Other practice location 1
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237356758 | Medicaid | AR |
Other providers in Pine Bluff, AR
- Tad L. Beene
- Carl Hendrick Bell Jr.
- Katrina Bell
- Latisha Nicole Bell
- Keith G Bennett
- Mefthe Fikru Berhanu
- Karen S Berry
- Valerie Lynne Berry
- Caemeron Bitzer
- Melinda Blackmon
All providers in Pine Bluff, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.