Paula Ann Bennett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2007011369 Issued in MO

Practice address

Highway 75/77
Winnebago PHS Hospital,
Winnebago, NE 68071-0767

Phone

(402) 878-2231

Fax

(402) 878-2535

NPI assigned

Nov 13, 2006

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Emergency Medicine Physician
  • Willmar, MN
  • NPI 1134632680
  Medicare reassignment NPD
• Carris Health LLC

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1427684612
  NPD
• Winnebago Indian Health Service

  • General Acute Care Hospital
  • Winnebago, NE
  • NPI 1659392454
  NPD (past)
• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  NPD (past)
• Civista Medical Center, Inc.

  dba University of Maryland Charles Regional Medical Center

  • Clinical Medical Laboratory
  • La Plata, MD
  • NPI 1801461926
  NPD (past)
• Moberly Physicians Corp

  • Family Medicine Physician
  • Moberly, MO
  • NPI 1417013129
  NPD (past)
• Randolph County Health Department

  • Public Health or Welfare Agency
  • Moberly, MO
  • NPI 1194990713
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1992876726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX HH",
            "address_2": "HWY 75/77",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "68071",
            "telephone_number": "402-878-2231",
            "fax_number": "402-878-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 75/77",
            "address_2": "WINNEBAGO PHS HOSPITAL,",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680710767",
            "telephone_number": "402-878-2231",
            "fax_number": "402-878-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007011369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10068419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2875073",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC BS",
            "identifier": "5286A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "603347",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2644327",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MEDICARE",
            "identifier": "326043511",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "58211",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "5797739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Marie American Horse
• Alida Asencio, MD
• Todd Daniel Baier, PLMHP, PLADC
• Camilla Anne Barajas, RN, BSN, CDE
• Angel Marie Barclay, LPN
• Reniah Jayd Bigfire
• Tiffany Bigfire
• Ashleen Lee Blackbird, DNP, APRN, FNP-C
• Maurice Ellis Blackbird, DNP, APRN, FNP-BC
• Shelby Rae Boschult, PHARMD

• Family Medicine Physician in Winnebago, NE
• Providers in Winnebago, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.