NICOLE RHEA BENNETT (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407626658
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for NICOLE RHEA BENNETT (PMHNP)
6901 State Highway 19 S
Athens, TX 757519119
Phone: (903) 675-8541
Fax: (903) 535-7384
Type: Location
2323 W Front St
Tyler, TX 757027747
Phone: (903) 597-1351
Fax: (903) 535-7384
Type: Location
1174 E Lennon Dr Ste C
Emory, TX 754403255
Phone: (903) 473-2671
Fax: (903) 535-7384
Type: Location
575 W State Highway 243
Canton, TX 751032113
Phone: (903) 567-4197
Fax: (903) 535-7384
Type: Location
2323 W FRONT ST
TYLER, TX 757027747
Phone: (903) 597-1351
Fax: (903) 535-7384
Type: Mailing
703 W PATTEN ST
MINEOLA, TX 757731541
Phone: (903) 569-5409
Fax: (903) 535-7384
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,629.
Total Amount is formed as General ($1,629) + Research ($0) + Ownership ($0) = $1,629.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($305).
Total Amount
$1,629
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240409004644 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX |
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