MRS. KINNEATHEA DENISHA BENNETT (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1902346141
Adult 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 MRS. KINNEATHEA DENISHA BENNETT (NURSE PRACTITIONER)
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Phone: (210) 916-0883
Fax: (210) 539-8633
Type: Location
1032 S WW WHITE RD
SAN ANTONIO, TX 782202531
Phone: (210) 447-3033
Type: Mailing
5206 RESEARCH DR
SAN ANTONIO, TX 782405251
Phone: (210) 595-5300
Fax: (210) 595-5301
Type: Location
500 KIRTS BLVD STE 100
TROY, MI 480844135
Phone: (248) 824-6623
Fax: (866) 618-6655
Type: Mailing
5414 FREDERICKSBURG RD STE 100A
SAN ANTONIO, TX 782293641
Phone: (210) 468-0800
Fax: (210) 733-8649
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $182.
Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: BIOTRONIK NRO, Inc. ($133).
Total Amount
$182
General + Research + Ownership
Payments
3
Total payment records
General Amount
$182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTRONIK NRO, Inc. | $133 |
| Incyte Corporation | $26 |
| ABBVIE INC. | $23 |
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: 2017-06-01
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 |
|---|---|---|---|---|
| I20170601000256 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 111 | 83 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 69 | 55 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 42 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 22 | 16 | $0 |
Insurance plans in this area (ZIP 78234)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Internal Medicine | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.