NPIMap

Individual provider Active NPI

Leah Catherine Bennett

  • Physician Assistant
  • Aberdeen, SD
National Provider Identifier
1902332760
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
506 S Wilson St
Aberdeen, SD 57401-5082
Phone
(605) 725-3900
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

506 S Wilson St
Aberdeen, SD 57401-5082

Mailing address

506 S Wilson St
Aberdeen, SD 57401-5082
Phone (605) 725-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808003820 SD Practitioner - Physician Assistant 0345511465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591
Phone (605) 322-6960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1093SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Jun 26, 2017 Accepting new patients
Avera McKennan CurrentSince Dec 17, 2019 Accepting new patients
Avera McKennan CurrentSince Dec 17, 2019 Accepting new patients
Horizon Health Care Inc CurrentSince Jun 26, 2017 Accepting new patients
Horizon Health Care Inc PastSince Aug 23, 2020 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

506 S Wilson St
Aberdeen, SD 57401
Phone (605) 725-3900

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

6701 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 322-6960

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Interoperability endpoints

  • Direct secure messaging: leah.bennett@avera.sdhealthlink.net

Organizations & group practices 8

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1902332760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S WILSON ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015082",
            "telephone_number": "605-725-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S WILSON ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015082",
            "telephone_number": "605-725-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LEAH",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.