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Kelly A. Bennett, PA

NPI 1982634762ActiveIndividual· Physician Assistant· Statesville, NC

Physician Assistant (PA) in Statesville, North Carolina, trained at Eastern Virginia Medical School (class of 2005). 12 Medicare patients in 2024, $1,231 paid; nearly all of their 61 Part D prescriptions were generic (93%).

Overview

NPI1982634762
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedJul 4, 2006
Last updated in NPPESAug 20, 2024
Certified by providerAug 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X0010-02297NC
Physician Assistant, Medical363AM0700X0110002137VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients12
Services billed36 across 19 procedure codes
Paid by Medicare$1,231

Part D prescriptions in 2024

Prescriptions (claims)61 · 65 30-day fills
Patients43
Total drug cost$656.88
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Medical schoolEastern Virginia Medical School
Graduation year2005
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Statesville

All Physician Assistant providers in North Carolina →