EMILY JEANNE BENNETT (MSN, APRN-BC) – Acute Care Nurse Practitioner, NPI 1558548701

EMILY JEANNE BENNETT (MSN, APRN-BC) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN-BC. They hold a License No. 4704246466 (MI). The NPI Number for EMILY JEANNE BENNETT (MSN, APRN-BC) is 1558548701

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JEANNE BENNETT (MSN, APRN-BC)
NPI
1558548701
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
29 January 2008
Last Update Date
5 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2004 (22 years ago)
PAC ID
8224114319
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20080331000101
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
ebennett156521@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for EMILY JEANNE BENNETT (MSN, APRN-BC)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Spectrum Health Pennock, 1009, West Green Street, Hastings, Barry County, Michigan, 49058, United States

    HASTINGS, MI 490581710

    Phone: (616) 391-3139

    Fax: (616) 391-3044

    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: 2008-03-31

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
I20080331000101INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6338$0
99239Hospital discharge day management, more than 30 minutes3131$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2520$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do I look up EMILY JEANNE BENNETT (MSN, APRN-BC) by NPI?
Use NPI 1558548701 when you need to reference EMILY JEANNE BENNETT (MSN, APRN-BC) in forms, claims, or directories.
Is EMILY JEANNE BENNETT (MSN, APRN-BC) active in the national directory?
EMILY JEANNE BENNETT (MSN, APRN-BC)'s public NPI profile is in an active state.
Does EMILY JEANNE BENNETT (MSN, APRN-BC) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for EMILY JEANNE BENNETT (MSN, APRN-BC). Clinical services aligned with this taxonomy classification.
What location shows for EMILY JEANNE BENNETT (MSN, APRN-BC)?
We surface Grand Rapids, Michigan for EMILY JEANNE BENNETT (MSN, APRN-BC) based on available NPPES addresses.
How can I contact EMILY JEANNE BENNETT (MSN, APRN-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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