Individual provider Active NPI

Sun Zoe Bennett, FNP

  • Family Nurse Practitioner
  • Prescott, AR
National Provider Identifier
1902339088
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LICENSE #: A005122 Issued in AR
Practice address
1440 W 1St St N
Prescott, AR 71857-3339
Phone
(870) 887-8001
Fax
(870) 887-1701
NPI assigned
Apr 6, 2017
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LICENSE #: A005122 AR Primary

Addresses

Primary practice location

1440 W 1St St N
Prescott, AR 71857-3339

Mailing address

412 Moses St
Hope, AR 71801-5713
Phone (870) 397-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL, MT, UT, WA, ID, AZ, ND, SD, NM, NE, DE, CO, TX, NH, MD, VT17 enrollments
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 17

Enrollment IDStateProvider typePAC IDDetails
I20220426000811 AR Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 3 organizations
I20230922000119 FL Practitioner - Nurse Practitioner 8921495714
I20230922002041 MT Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20230922002198 UT Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20230922002304 WA Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20230925001152 ID Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20230925002814 AZ Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20231020000947 ND Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20231020002707 SD Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20231021000555 NM Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20231116003070 NE Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20231128003235 DE Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20240104004107 CO Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20240105001605 TX Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 2 organizations
I20240405001614 NH Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20240718001399 MD Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization
I20240725002643 VT Practitioner - Nurse Practitioner 8921495714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

1325 Marion Dr
Wynne, AR 72396-2434
Phone (870) 588-5291

Merit-based Incentive Payment System (MIPS)

Final score
52.36 of 100Reported as group
Quality
24.02
Promoting interoperability
91
Improvement activities
0
Cost
74.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LICENSE #: A005122ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Nov 20, 2023 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Mar 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Sep 6, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations (25 of 31)

124 W Capitol Ave
Ste 1900
Little Rock, AR 72201
Phone (479) 336-8422

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (515) 513-4913

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

3597 E Monarch Sky Ln
Meridian, ID 83646
Phone (208) 522-7512

650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

3011 American Way
Missoula, MT 59808
Phone (406) 546-8745

120 W Sweet Ave
Ste 400
Bismarck, ND 58504

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

101 S Reid St
Sioux Falls, SD 57103
Phone (605) 205-5116

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

Interoperability endpoints

  • Direct secure messaging: sunzoe.bennett.p1@direct.collom-carney.nextgenshare.com

Organizations & group practices 6

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1902339088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MOSES ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718015713",
            "telephone_number": "870-397-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573339",
            "telephone_number": "870-887-8001",
            "fax_number": "870-887-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SUN",
        "middle_name": "ZOE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "LICENSE #: A005122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AR

Sources for this page

Verify at the official NPI Registry.