KENDEL NICOLE BENNETT – Physician Assistant, NPI 1912455205

KENDEL NICOLE BENNETT is a healthcare provider. based in Portland, Oregon. specializing in Physician Assistant. They hold a License No. 190537 (OR). The NPI Number for KENDEL NICOLE BENNETT is 1912455205

Main info

Female
Sole Proprietor
Name
KENDEL NICOLE BENNETT
NPI
1912455205
Phone
(303) 947-1277
Address
3155 SW Moody Ave Apt 303
Enumeration Date
14 September 2016
Last Update Date
3 January 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for KENDEL NICOLE BENNETT

  • 3155 SW Moody Ave Apt 303

    Portland, OR 972394731

    Phone: (303) 947-1277

    Type: Location

  • 3155 SW MOODY AVE APT 219

    PORTLAND, OR 972394703

    Phone: (303) 947-1277

    Type: Mailing

  • Exchange Street, Uppertown, Astoria, Clatsop County, Oregon, 97103, United States

    ASTORIA, OR 971033400

    Phone: (503) 338-4087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Abbott Laboratories ($30).

Total Amount

$139

General + Research + Ownership

Payments

7

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97239)

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Reviews

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Frequently asked questions

How is KENDEL NICOLE BENNETT identified in CMS data?
CMS-hosted NPPES data lists KENDEL NICOLE BENNETT with NPI 1912455205.
Is KENDEL NICOLE BENNETT still practicing?
KENDEL NICOLE BENNETT is currently listed as active in the public NPI registry.
What is KENDEL NICOLE BENNETT best known for clinically?
Directory data describes KENDEL NICOLE BENNETT with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KENDEL NICOLE BENNETT based?
KENDEL NICOLE BENNETT is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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