BRANDI NICOLE BENNETT (NP) – Family Nurse Practitioner, NPI 1508483371

BRANDI NICOLE BENNETT (NP) is a healthcare provider. based in Andalusia, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-140569 (AL). The NPI Number for BRANDI NICOLE BENNETT (NP) is 1508483371

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BRANDI NICOLE BENNETT (NP)
NPI
1508483371
Phone
(334) 343-0014
Address
19588 ENOCH RD
Enumeration Date
28 June 2020
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
3342224327
Graduation Year
2020 (6 years ago)
PAC ID
3779909148
Group Practice PAC ID
8224255385
Professional Enrollment ID
I20200814002876
Address ID
AL364205355AN215XXDRXX403
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 BRANDI NICOLE BENNETT (NP)

  • 19588 ENOCH RD

    ANDALUSIA, AL 364216108

    Phone: (334) 343-0014

    Type: Mailing

  • 215 MEDICAL PARK DR

    ANDALUSIA, AL 364205354

    Phone: (334) 222-4327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($67).

Total Amount

$164

General + Research + Ownership

Payments

9

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2020-08-14

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
I20200814002876INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36421)

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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: 8224255385View full group profile
NameSpecialtyState
-AL
Cardiovascular Disease (Cardiology)AL

Reviews

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Frequently asked questions

How do I look up BRANDI NICOLE BENNETT (NP) by NPI?
Use NPI 1508483371 when you need to reference BRANDI NICOLE BENNETT (NP) in forms, claims, or directories.
Is BRANDI NICOLE BENNETT (NP) active in the national directory?
BRANDI NICOLE BENNETT (NP)'s public NPI profile is in an active state.
What does BRANDI NICOLE BENNETT (NP) treat or focus on?
Patients typically see BRANDI NICOLE BENNETT (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place BRANDI NICOLE BENNETT (NP)?
The snapshot lists Andalusia, Alabama for BRANDI NICOLE BENNETT (NP); download NPPES for the complete set.
What if Andalusia, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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