KAITLYN A BENNETT (NP) – Family Nurse Practitioner, NPI 1154910123

KAITLYN A BENNETT (NP) is a healthcare provider. based in Scottsboro, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-168707 (AL). The NPI Number for KAITLYN A BENNETT (NP) is 1154910123

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN A BENNETT (NP)
NPI
1154910123
Phone
Not provided
Address
508 HARLEY ST STE D
Enumeration Date
14 January 2021
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2565948181
Graduation Year
2020 (6 years ago)
PAC ID
6305252107
Group Practice PAC ID
1759702111
Professional Enrollment ID
I20210302002365
Address ID
AL357682855SC24020PKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KAITLYN A BENNETT (NP)

  • 508 HARLEY ST STE D

    SCOTTSBORO, AL 357684263

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $571.

Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Lilly USA, LLC ($101).

Total Amount

$571

General + Research + Ownership

Payments

34

Total payment records

General Amount

$571

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210302002365INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95117Professional service for multiple injections of allergen439129$0
99213Established patient office or other outpatient visit, 20-29 minutes207171$0
J0696Injection, ceftriaxone sodium, per 250 mg18832$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16038$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg10137$0
View full utilization report →

Insurance plans in this area (ZIP 35768)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759702111View full group profile
NameSpecialtyState
Nurse PractitionerAL
Internal MedicineAL
Family PracticeAL
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the standard ID for KAITLYN A BENNETT (NP) in the U.S.?
In the U.S., KAITLYN A BENNETT (NP) is identified by NPI 1154910123.
Should I treat KAITLYN A BENNETT (NP) as an active provider?
Patients and plans typically see KAITLYN A BENNETT (NP) as active in the national extract.
What services align with KAITLYN A BENNETT (NP)'s listing?
KAITLYN A BENNETT (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAITLYN A BENNETT (NP)?
KAITLYN A BENNETT (NP) is associated with Scottsboro, Alabama in the same public data insurers reference.
Why is information missing for KAITLYN A BENNETT (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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