Kelly Bennett, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127219 Issued in TX

Practice address

7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931

Phone

(720) 456-3989

NPI assigned

Jan 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor G Wright PC 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pasco/SW Home Health Home health agency, Cortez, CO, CCN 067339
• Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19189/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovation Medical Group PC

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1235526682

  CO, Family

  Medicare reassignment Care Compare group NPD
• Health Now Medical LLC

  • Family Medicine Physician
  • Cortez, CO
  • NPI 1841760691
  NPD
• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1457962318
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Park Point Healthcare LLC

  • Home Health Agency
  • Cortez, CO
  • NPI 1811581853
  Care Compare affiliation
• Southwest Health System Inc

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571

  Hospital

  Care Compare affiliation
• Southwest Health System, Inc.

  • Land Ambulance
  • Cortez, CO
  • NPI 1679058184

  Hospital

  Care Compare affiliation
• Southwest Health System, Inc.

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
  • NPI 1992328074

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1891184875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 S OAK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 S REVERE PKWY STE 201",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123931",
            "telephone_number": "720-456-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Garden Of The Gods Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Colorado Spgs",
            "state": "CO",
            "postal_code": "809079440",
            "country_code": "US",
            "telephone_number": "720-456-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 W 121st Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802344223",
            "country_code": "US",
            "telephone_number": "720-595-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KELLY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0004169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bender
• Suzanne Benedict, P.T.
• Benjamin D. Sturdy O.D., P.C.
• Bennett Medical Services
• Cameron M Bennett, M.S.
• Samantha J Benning, NP
• Keziah Benny
• Philline Benson
• Rachel Leigh Benton, PA-C
• Mary Ellen Benz, LPC

• All providers in Centennial, CO
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.
• 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.