Jackie Dawn Bennett, FNP-BC - Medicare Nurse Practitioner in Monte Vista, CO

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Jackie Dawn Bennett, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Monte Vista, Colorado. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lutheran Hospital Association Of The San Luis Valley and her current practice location is 103 Chico Ct, Monte Vista, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 852-9400.

Jackie Dawn Bennett is licensed to practice in Colorado (license number 0993785-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174028849.

Contact Information

Jackie Dawn Bennett, FNP-BC
103 Chico Ct,
Monte Vista, CO 81144-1065
(719) 852-9400
(719) 852-9311

Map and Direction




Provider's Profile

Full NameJackie Dawn Bennett
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location103 Chico Ct, Monte Vista, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jackie Dawn Bennett graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1174028849
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476816950
  • Enrollment ID: I20180416000656

Medical Identifiers

Medical identifiers for Jackie Dawn Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174028849NPI-NPPES
RN0162822OtherCORN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0993785-NP (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Luis Valley HealthAlamosa, COHospital
Rio Grande HospitalDel norte, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Hospital Association Of The San Luis Valley4789589094110

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Dawn Bennett allows following entities to bill medicare on her behalf.
Entity NameLutheran Hospital Association Of The San Luis Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318
Entity NameValley Citizens' Foundation For Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396783981
PECOS PAC ID: 7517951536
Enrollment ID: O20040413000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Dawn Bennett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Dawn Bennett, FNP-BC
371 Pinon Valley Rd,
Del Norte, CO 81132-9014

Ph: (719) 588-1557		Jackie Dawn Bennett, FNP-BC
103 Chico Ct,
Monte Vista, CO 81144-1065

Ph: (719) 852-9400

Reviews and Comments


Nurse Practitioner Nurses in Monte Vista, CO

Ms. Laura Lee Martin, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 925 2nd Ave, Monte Vista, CO 81144
Phone: 719-852-2512    Fax: 719-852-3923
Dr. Vanessa Elizabeth Zwegers, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 925 2nd Ave, Monte Vista, CO 81144
Phone: 719-582-2512    Fax: 719-852-3923

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.