STACI THOMAS BENNETT (FNP-C) – Registered Nurse, NPI 1083234322
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for STACI THOMAS BENNETT (FNP-C)
58 THOMAS DR
BYRON, GA 310088616
Phone: (478) 320-4644
Type: Mailing
800 1ST ST STE 410
MACON, GA 312018306
Phone: (478) 320-4644
Type: Mailing
114 Sutherlin Dr Ste C-1
Warner Robins, GA 310882259
Phone: (478) 743-7068
Fax: (478) 741-1354
Type: Location
5430 BOWMAN RD
MACON, GA 312108879
Phone: (478) 743-7068
Fax: (478) 741-1354
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 248 Open Payments records for all available years, with a total value of $5,434.
Total Amount is formed as General ($5,434) + Research ($0) + Ownership ($0) = $5,434.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($473).
Total Amount
$5,434
General + Research + Ownership
Payments
248
Total payment records
General Amount
$5,434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Daiichi Sankyo Inc. | $473 |
| Merck Sharp & Dohme LLC | $358 |
| PFIZER INC. | $293 |
| Seagen Inc. | $235 |
| Myriad Genetic Laboratories, Inc. | $207 |
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: 2021-02-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210222001450 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 77 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | 21 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 31008)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | DE | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | FL | |
| P A T H O L O G Y | FL | |
| Nurse Practitioner | KS | |
| - | MO | |
| Nurse Practitioner | MD | |
| - | GA | |
| - | FL |
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