CARISSA DARLENE BENNETT (AUD) – Specialist, NPI 1104869551

CARISSA DARLENE BENNETT (AUD) is a healthcare provider. based in Los angeles, California. specializing in Specialist. They hold the professional credentials AUD. They hold a License No. AU759 (CA). The NPI Number for CARISSA DARLENE BENNETT (AUD) is 1104869551

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CARISSA DARLENE BENNETT (AUD)
NPI
1104869551
Phone
(310) 477-5558
Address
11645 WILSHIRE BLVD
Enumeration Date
14 June 2006
Last Update Date
28 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187277020
Graduation Year
2003 (23 years ago)
PAC ID
6709770761
Group Practice PAC ID
0749215580
Professional Enrollment ID
I20051004000537
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CARISSA DARLENE BENNETT (AUD)

  • Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States

    SUITE # 600

    LOS ANGELES, CA 900251708

    Phone: (310) 477-5558

    Fax: (310) 477-7281

    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)

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: 2005-10-04

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
I20051004000537IQualified AudiologistCATBD

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
92557Comprehensive hearing and speech recognition test352344$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report168167$0
92570Comprehensive hearing test128127$0
92567Test to assess middle ear function119116$0
92550Test for eardrum and muscle function9797$0
View full utilization report →

Insurance plans in this area (ZIP 90025)

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Provider's Procedures

CARISSA DARLENE BENNETT (AUD) performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTCA92540Observation, testing, and recording of abnormal eye movement6464

Reviews

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Frequently asked questions

How do payers reference CARISSA DARLENE BENNETT (AUD)?
For CARISSA DARLENE BENNETT (AUD), use NPI 1104869551 as the unique 10-digit identifier.
Active or inactive — what applies to CARISSA DARLENE BENNETT (AUD)?
You should see CARISSA DARLENE BENNETT (AUD) as active in CMS-hosted NPPES data.
What kind of doctor is CARISSA DARLENE BENNETT (AUD)?
CARISSA DARLENE BENNETT (AUD) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CARISSA DARLENE BENNETT (AUD)?
Directory geography for CARISSA DARLENE BENNETT (AUD) centers on Los Angeles, California.
Does CARISSA DARLENE BENNETT (AUD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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