VIVIAN BENNETT (NP) – Family Nurse Practitioner, NPI 1700960796

VIVIAN BENNETT (NP) is a healthcare provider. based in Danvers, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 212621 (MA). The NPI Number for VIVIAN BENNETT (NP) is 1700960796

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
VIVIAN BENNETT (NP)
NPI
1700960796
Phone
(978) 304-8600
Address
480 MAPLE ST
Enumeration Date
25 October 2006
Last Update Date
30 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9592167305
Graduation Year
2001 (25 years ago)
PAC ID
3173705597
Group Practice PAC ID
0042217507
Professional Enrollment ID
I20110307000617
Address ID
MA019011314LY269XXSTXX300
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

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for VIVIAN BENNETT (NP)

  • 480, Maple Street, Hathorne, Danvers, Essex County, Massachusetts, 01937, United States

    DANVERS, MA 019234065

    Phone: (978) 304-8600

    Fax: (978) 304-8621

    Type: Location

  • 24, Central Street, Marblehead, Essex County, Massachusetts, 01945, United States

    MARBLEHEAD, MA 019453002

    Phone: (781) 631-1111

    Type: Mailing

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: 2011-03-07

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
I20110307000617INurse PractitionerMATBD

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 01923)

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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: 0042217507View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
-MA
Family PracticeMA
Family PracticeMA
Clinical Social WorkerMA
Nurse PractitionerMA
Mental Health CounselorMA
Physician AssistantMA
Family PracticePA

Reviews

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Frequently asked questions

Can I cross-check VIVIAN BENNETT (NP) using NPI 1700960796?
NPI 1700960796 belongs to VIVIAN BENNETT (NP); compare other details if you need extra assurance.
Would VIVIAN BENNETT (NP) appear as active to a payer?
You can treat VIVIAN BENNETT (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for VIVIAN BENNETT (NP)?
At a glance, VIVIAN BENNETT (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for VIVIAN BENNETT (NP)?
Travel planning: use Danvers, Massachusetts as the reference point for VIVIAN BENNETT (NP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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