Abbygail Middleton Bennett, APRN
Individual provider Active NPI Family Nurse Practitioner · Siloam Springs, AR
NPI 1972207264 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1972207264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 217912 (AR)
- Practice address
- 1500 N Mount Olive St # 1
Siloam Springs, AR 72761-9509 - Phone
- (479) 524-8175
- Fax
- (479) 524-8176
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Francis House Nwa, Inc.
Healthtexas Provider Network
Practice addresses (Care Compare)
1500 N Mount Olive St
Siloam Springs, AR 72761-9509
Phone (479) 524-8175
200 N Virginia St
Baylor Scott and White Fam Med Ctr Terrell
Terrell, TX 75160-2732
Phone (469) 800-3100
235 S Buchanan Ave
Suite 1
Fayetteville, AR 72701-4904
Phone (479) 751-7417
451 S Holly St
Siloam Springs, AR 72761-3018
Phone (479) 524-3141
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Siloam Springs Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, TX
- 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 |
|---|---|---|---|---|
| I20230821002436 | AR | Practitioner - Nurse Practitioner | 4981066081 | Reassigns benefits to 3 organizations |
| I20260507001789 | TX | Practitioner - Nurse Practitioner | 4981066081 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St. Francis House Nwa, Inc. | Past | Accepting new patients |
Locations
451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141
1500 N Mount Olive St
Siloam Springs, AR 72761
Phone (479) 524-6184
1500 N Mount Olive St
#1
Siloam Springs, AR 72761
Phone (479) 524-8175
500 S Mount Olive St
Ste 200
Siloam Springs, AR 72761
Phone (479) 524-9550
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
1261 E Tulsa Ave
Kansas, OK 74347
Phone (918) 786-7300
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 | 217912 | AR | Yes |
Addresses
Primary practice location
1500 N Mount Olive St # 1
Siloam Springs, AR 72761-9509
Mailing address
1500 N Mount Olive St
Siloam Springs, AR 72761-9509
Phone (479) 524-8175
Other providers in Siloam Springs, AR
- Mariana Bautista
- Christy Deann Belew
- Adria Rachel Bell
- Terra J Bellamy
- George H Benjamin
- Bethel Burris Oliver PLLC
- Evelene Grace Bible
- Bill Pickard, DDS, Ms, PA
- Billingsley Eye Clinic
- Janet Susan Bilyeu
All providers in Siloam Springs, 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 May 23, 2024. 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.