ALICIA MARIE BENNETT (RN) – Certified Registered Nurse Anesthetist, NPI 1063082154

ALICIA MARIE BENNETT (RN) is a healthcare provider. based in Lauderdale lakes, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. APRN11031454 (FL). The NPI Number for ALICIA MARIE BENNETT (RN) is 1063082154

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA MARIE BENNETT (RN)
NPI
1063082154
Phone
(954) 842-9778
Address
3533 NW 37TH AVE
Enumeration Date
30 June 2021
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Secondary Phone
8665075244
Graduation Year
2021 (5 years ago)
PAC ID
2365985181
Group Practice PAC ID
9133390313
Professional Enrollment ID
I20240621001637
Address ID
FL334281842BO21644RDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for ALICIA MARIE BENNETT (RN)

  • 3533 NW 37TH AVE

    LAUDERDALE LAKES, FL 333095330

    Phone: (954) 842-9778

    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: 2024-06-21

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
I20240621001637ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 33309)

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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: 9133390313View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

Does ALICIA MARIE BENNETT (RN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALICIA MARIE BENNETT (RN) uses 1063082154.
Does the file indicate ALICIA MARIE BENNETT (RN) is practicing under active NPI?
Directory data currently reports ALICIA MARIE BENNETT (RN) as active.
What is ALICIA MARIE BENNETT (RN)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ALICIA MARIE BENNETT (RN) here. Clinical services aligned with this taxonomy classification.
Where should I expect ALICIA MARIE BENNETT (RN) on a map?
Expect Lauderdale Lakes, Florida as a primary anchor for ALICIA MARIE BENNETT (RN) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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