STEPHANIE ANN BENNINGTON (DO) – Psychiatry Physician, NPI 1619453040
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
42 PSYCHIATRY in WY
Provider Addresses for STEPHANIE ANN BENNINGTON (DO)
201 W LAKEWAY RD STE 1004
GILLETTE, WY 827186349
Phone: (307) 387-9850
Fax: (307) 387-9890
Type: Mailing
Mercy Road, Omaha, Douglas County, Nebraska, 68182, United States
OMAHA, NE 681242353
Phone: (402) 280-4195
Type: Mailing
201 W LAKEWAY RD STE 700
GILLETTE, WY 827186346
Phone: (307) 387-9850
Fax: (307) 387-9890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $20 |
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: 2025-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20231025001422 | I | Psychiatry | IL | TBD |
| I20231103000739 | I | Psychiatry | WI | TBD |
| I20241003001978 | I | Psychiatry | WY | TBD |
| I20251106001897 | I | Psychiatry | SD | TBD |
| I20251229001901 | I | Psychiatry | NE | 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 82718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Endocrinology, Internal Medicine | TX | |
| Emergency Medicine | CO | |
| General Surgery | MA | |
| Family Practice | WY | |
| P S Y C H I A T R Y | WA | |
| D E R M A T O L O G Y | VT | |
| Registered Dietitian Or Nutrition Professional | WY | |
| N E U R O L O G Y | NE | |
| Internal Medicine | CO | |
| Family Practice, Geriatric Medicine | WY |
Reviews
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