DR. WALTER CHARLES JR. BENNETT – Family Nurse Practitioner, NPI 1164569703
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
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Provider Addresses for DR. WALTER CHARLES JR. BENNETT
2310C THORNTON TAYLOR PKWY STE 102
FAYETTEVILLE, TN 373343630
Phone: (931) 251-3009
Fax: (256) 774-5866
Type: Mailing
120, West Dublin Drive, Madison, Madison County, Alabama, 35758, United States
SUITE 102
MADISON, AL 357583107
Phone: (256) 774-7189
Fax: (256) 774-5866
Type: Mailing
321, West McKnight Drive, Murfreesboro, Rutherford County, Middle Tennessee, Tennessee, 37129, United States
MURFREESBORO, TN 371292450
Phone: (615) 890-1189
Fax: (615) 895-7466
Type: Location
125 Jerusalem Ave Apt A
Hicksville, NY 118014958
Phone: (516) 935-3555
Type: Location
2310 THORNTON TAYLOR PKWY STE C
FAYETTEVILLE, TN 373343668
Phone: (931) 251-3009
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: 2024-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130215000462 | I | Nurse Practitioner | TN | TBD |
| I20241206002272 | I | Nurse Practitioner | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 2,675 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 572 | 42 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 374 | 32 | $0 |
| 98925 | Osteopathic manipulative treatment, 1-2 body regions | 262 | 26 | $0 |
| 98926 | Osteopathic manipulative treatment, 3-4 body regions | 70 | 17 | $0 |
Insurance plans in this area (ZIP 37334)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TN | 98926 | Osteopathic manipulative treatment to 3-4 body regions | 255 | 29 |
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