DANIELLE M BENNETT (RN) – Family Nurse Practitioner, NPI 1164031936

DANIELLE M BENNETT (RN) is a healthcare provider. based in Pittsburg, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 13-105182-011 (KS). The NPI Number for DANIELLE M BENNETT (RN) is 1164031936

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE M BENNETT (RN)
NPI
1164031936
Phone
(620) 231-9873
Address
3011 N MICHIGAN ST
Enumeration Date
28 July 2020
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
1153702246
Group Practice PAC ID
7911816392
Professional Enrollment ID
I20220720003692
Address ID
KS667622546PI3015XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for DANIELLE M BENNETT (RN)

  • 3011 N MICHIGAN ST

    PITTSBURG, KS 667622546

    Phone: (620) 231-9873

    Type: Mailing

  • PO BOX 1832

    PITTSBURG, KS 667621832

    Phone: (620) 231-9873

    Type: Mailing

  • 2322 S MAIN ST

    FORT SCOTT, KS 667013026

    Phone: (620) 223-8040

    Fax: (620) 231-5062

    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: 2022-07-20

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
I20220720003692INurse PractitionerKSTBD

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
81003Automated urinalysis test3937$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3231$0
View full utilization report →

Insurance plans in this area (ZIP 66762)

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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: 7911816392View full group profile
NameSpecialtyState
Nurse PractitionerKS
-KS
Nurse PractitionerKS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
General Practice, Family PracticeKY
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is DANIELLE M BENNETT (RN)'s NPI number?
DANIELLE M BENNETT (RN)'s NPI is 1164031936 — the number used across U.S. healthcare to identify this provider.
Would DANIELLE M BENNETT (RN) appear as active to a payer?
You can treat DANIELLE M BENNETT (RN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DANIELLE M BENNETT (RN)?
DANIELLE M BENNETT (RN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DANIELLE M BENNETT (RN)?
Travel planning: use Pittsburg, Kansas as the reference point for DANIELLE M BENNETT (RN), then confirm.
When was this NPI issued?
Enumeration for DANIELLE M BENNETT (RN) is noted as July 28, 2020 where the registry provides it.

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