MICHAEL A BENNETT (APRN) – Primary Care Nurse Practitioner, NPI 1811362742

MICHAEL A BENNETT (APRN) is a healthcare provider. based in Middleburg heights, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. COA 17986-NP (OH). The NPI Number for MICHAEL A BENNETT (APRN) is 1811362742

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A BENNETT (APRN)
NPI
1811362742
Phone
(440) 826-0500
Address
16600 W SPRAGUE RD STE 120
Enumeration Date
3 December 2015
Last Update Date
14 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164906000
Graduation Year
2015 (11 years ago)
PAC ID
4385933316
Group Practice PAC ID
2264337955
Professional Enrollment ID
I20160516000626
Address ID
OH441226805WA20000AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MICHAEL A BENNETT (APRN)

  • 16600 W SPRAGUE RD STE 120

    MIDDLEBURG HEIGHTS, OH 441306300

    Phone: (440) 826-0500

    Type: Mailing

  • 13301 MILES AVE

    CLEVELAND, OH 44105

    Phone: (216) 231-7700

    Type: Location

  • 13301 Miles Ave

    Cleveland, OH 441055521

    Phone: (216) 231-7700

    Type: Location

  • 20000 HARVARD AVE

    WARRENSVILLE HEIGHTS, OH 441226805

    Phone: (216) 491-6000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $294.

Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Amgen Inc. ($150).

Total Amount

$294

General + Research + Ownership

Payments

3

Total payment records

General Amount

$294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-16

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
I20160516000626INurse PractitionerOHTBD

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 44130)

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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: 2264337955View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to MICHAEL A BENNETT (APRN)?
The federal identifier for MICHAEL A BENNETT (APRN) is NPI 1811362742.
Does this profile mean MICHAEL A BENNETT (APRN) is currently active?
Yes — MICHAEL A BENNETT (APRN) appears active in the national provider directory.
What kind of provider is MICHAEL A BENNETT (APRN)?
The page reflects Primary Care Nurse Practitioner for MICHAEL A BENNETT (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL A BENNETT (APRN)?
The snapshot lists Middleburg Heights, Ohio for MICHAEL A BENNETT (APRN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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