ANDREW STEPHEN BENNETT – Anesthesiology Physician, NPI 1396249140

ANDREW STEPHEN BENNETT is a healthcare provider. based in Little rock, Arkansas. specializing in ANESTHESIOLOGY. They hold a License No. T6193 (TX). The NPI Number for ANDREW STEPHEN BENNETT is 1396249140

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW STEPHEN BENNETT
NPI
1396249140
Phone
(191) 826-0991
Address
13020 MORRISON RD
Enumeration Date
19 March 2018
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
2143456789
Graduation Year
2018 (8 years ago)
PAC ID
9638422025
Group Practice PAC ID
7810293438
Professional Enrollment ID
I20220616001694
Address ID
TX752314402DA8200XLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,343 ANESTHESIOLOGY in FL

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Provider Addresses for ANDREW STEPHEN BENNETT

  • Little Rock, Morrison County, Minnesota, United States

    LITTLE ROCK, AR 722123852

    Phone: (191) 826-0991

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-06-16

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
I20220616001694IAnesthesiologyTXTBD

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 72212)

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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: 7810293438View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I verify ANDREW STEPHEN BENNETT with an NPI only?
You can start verification with NPI 1396249140 for ANDREW STEPHEN BENNETT, then check state licensing separately.
Does CMS list ANDREW STEPHEN BENNETT as active?
Yes — ANDREW STEPHEN BENNETT is active in the NPI listing used on this page.
What taxonomy line describes ANDREW STEPHEN BENNETT?
For research purposes, treat ANDREW STEPHEN BENNETT as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREW STEPHEN BENNETT?
ANDREW STEPHEN BENNETT's geographic hint is Little Rock, Arkansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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