ANDRE MARCUSS BENNETT – Certified Registered Nurse Anesthetist, NPI 1043848823

ANDRE MARCUSS BENNETT is a healthcare provider. based in Chicago, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 209021467 (IL). The NPI Number for ANDRE MARCUSS BENNETT is 1043848823

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDRE MARCUSS BENNETT
NPI
1043848823
Phone
(312) 695-0061
Address
251 E HURON ST STE 5-704
Enumeration Date
29 March 2020
Last Update Date
21 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739737432
Graduation Year
2020 (6 years ago)
PAC ID
3072937937
Group Practice PAC ID
4880036078
Professional Enrollment ID
I20200724000339
Address ID
IL606593729CH3034XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for ANDRE MARCUSS BENNETT

  • 251 E HURON ST STE 5-704

    CHICAGO, IL 606112908

    Phone: (312) 695-0061

    Fax: (312) 695-9013

    Type: Mailing

  • 251 E HURON ST

    CHICAGO, IL 606112908

    Phone: (312) 926-2000

    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: 2020-07-24

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
I20200724000339ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery2424$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
00520Anesthesia for other closed procedure on chest1111$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 4880036078View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

Where can patients find ANDRE MARCUSS BENNETT's NPI?
You can confirm ANDRE MARCUSS BENNETT with NPI 1043848823; it appears in the national provider directory.
Does this profile mean ANDRE MARCUSS BENNETT is currently active?
Yes — ANDRE MARCUSS BENNETT appears active in the national provider directory.
What kind of provider is ANDRE MARCUSS BENNETT?
The page reflects Certified Registered Nurse Anesthetist for ANDRE MARCUSS BENNETT. Clinical services aligned with this taxonomy classification.
Does ANDRE MARCUSS BENNETT practice in Illinois?
You will see Chicago, Illinois on file for ANDRE MARCUSS BENNETT alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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