Individual provider Active NPI

Abbygail Middleton Bennett, APRN

  • Family Nurse Practitioner
  • Siloam Springs, AR
National Provider Identifier
1972207264
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217912 Issued in 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
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 217912 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230821002436 AR Practitioner - Nurse Practitioner 4981066081 Reassigns benefits to 3 organizations
I20260507001789 TX Practitioner - Nurse Practitioner 4981066081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Nov 1, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Sep 5, 2023 Accepting new patients
St Francis House Nwa, Inc CurrentSince Sep 5, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 18, 2023 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

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

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

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) 786-3391

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

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1972207264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N MOUNT OLIVE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727619509",
            "telephone_number": "479-524-8175",
            "fax_number": "479-524-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N MOUNT OLIVE ST # 1",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727619509",
            "telephone_number": "479-524-8175",
            "fax_number": "479-524-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ABBYGAIL",
        "middle_name": "MIDDLETON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.