Walter Charles Bennett Jr.
NPI 1164569703ActiveIndividual· Nurse Practitioner, Family· Fayetteville, TN
Nurse Practitioner, Family in Fayetteville, Tennessee, licensed in TN, NY and AL, with an NPI issued in January 2007. Mostly services rather than prescriptions: Medicare paid $53,723 for 41 patients in 2024, with only 13 Part D claims. Lists Lincoln Medical Center as a hospital affiliation.
Overview
| NPI | 1164569703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Sep 26, 2024 |
| Certified by provider | Sep 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 16762 | TN |
| Nurse Practitioner, Family | 363LF0000X | 355160 | NY |
| Chiropractor | 111N00000X | 2025 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 2,448 across 10 procedure codes |
| Paid by Medicare | $53,723 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 13 30-day fills |
|---|---|
| Total drug cost | $188.98 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Hospital affiliation
- Lincoln Medical CenterFayetteville, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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