Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912455205 Individual Practitioner Female Practitioner

Kendel Nicole Bennett

Physician Assistant • Astoria, OR

Professional Overview & Biography Verified Profile Summary

Kendel Bennett is a registered healthcare professional specializing in Physician Assistant in Astoria, OR. Practice services are available at 2095 EXCHANGE ST STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2095 Exchange St Ste 301

Astoria, OR 971033400

Telephone 5033384087

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Astoria, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Astoria, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR 190537

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

3155 Sw Moody Ave Apt 303

Portland, OR 972394731

Phone: 3039471277

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Diana Rinkevich , MD

Internal Medicine - Cardiovascular Disease

NPI 1265501530

Doctor of Medicine (M.D.)

Dave Cantrell , PA-C

Physician Assistant

NPI 1427005479

Physician Assistant (Certified)

Charlotte Pulitzer , LCSW

Social Worker - Clinical

NPI 1538969415

Licensed Clinical Social Worker

Dr. Timothy Becker , DO

Internal Medicine - Cardiovascular Disease

NPI 1740619055

Doctor of Osteopathic Medicine (D.O.)

Heather Mclean , NP

Nurse Practitioner

NPI 1932392107

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 03, 2019

Registered at 2095 EXCHANGE ST STE 301, ASTORIA, OR 971033400 (Tel: 5033384087)

📍
Updated Business Mailing Address January 03, 2019

Registered at 3155 SW MOODY AVE APT 219, PORTLAND, OR 972394703 (Tel: 3039471277)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Physician Assistant (License #190537 in OR)

NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2016

Registered at 3155 SW MOODY AVE APT 303, PORTLAND, OR 972394731 (Tel: 3039471277)

📍
Updated Business Mailing Address September 14, 2016

Registered at 2730 SW MOODY AVE # CL5PA, PORTLAND, OR 972015042 (Tel: 3039471277)

👤
Provider Name / Credentials Updated September 14, 2016

Recorded as KENDEL BENNETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912455205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2016
Last Update: January 03, 2019
Sole Proprietor: Yes

Mailing Address

3155 Sw Moody Ave Apt 219

Portland, OR 972394703

Phone: 3039471277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.