Individual provider Active NPI

Nicole M Bennett, DC

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1962463752
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8675 Issued in FL
Practice address
3645 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-4170
Phone
(239) 763-1288
Fax
(239) 319-5123
NPI assigned
Mar 31, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8675 FL Primary

Addresses

Primary practice location

3645 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-4170

Mailing address

3645 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-4170
Phone (239) 763-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000888 FL Practitioner - Chiropractic 3971583980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3725 Bonita Beach Rd
Suite 4
Bonita Springs, FL 34134-1400
Phone (239) 763-1288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8675FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Chiropractic and Wellness Center, Inc. Chiropractor CurrentSince Jan 29, 2008 Accepting new patients
Smardz Corporation Chiropractor Past Accepting new patients

Locations

3645 Bonita Beach Rd
Ste 4
Bonita Springs, FL 34134
Phone (239) 763-1288

3725 Bonita Beach Rd
Ste 4
Bonita Springs, FL 34134
Phone (239) 763-1288

6875 Estero Blvd
Ste A
Fort Myers Beach, FL 33931
Phone (239) 463-1640

7130 Estero Blvd
Unit 1
Fort Myers Beach, FL 33931
Phone (239) 463-1640

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1962463752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 BONITA BEACH RD STE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344170",
            "telephone_number": "239-763-1288",
            "fax_number": "239-319-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 BONITA BEACH RD STE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344170",
            "telephone_number": "239-763-1288",
            "fax_number": "239-319-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.