SHERTIAL RENEE BENNETT — NPI 1942176748 (Licensed & Credentialed Suppliers — Prosthetic

CMS-1500 Box 24J / 33a • NPI

1942176748

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

335E00000X (CMS 51)

Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier

Box 32 Service Location & ZIP+4

7777 WARREN PKWY, MATTISON AVENUE SALON SUITES AND SPA SUITE 105, FRISCO, TX, 75034-6549

✓ 9-Digit EDI 837 ZIP+4 (75034-6549)

Practice Phone & Referral Fax

(972) 850-6224

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942176748 (SHERTIAL RENEE BENNETT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942176748` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHERTIAL RENEE BENNETT
Plain-English Specialty	Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier NUCC Code: `335E00000X` (Prosthetic/Orthotic Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	7777 WARREN PKWY, MATTISON AVENUE SALON SUITES AND SPA SUITE 105, FRISCO, TX, 75034-6549
Practice Telephone / Fax	Tel: (972) 850-6224
Administrative Mailing Address	PO BOX 301, ANNA, TX, 75409-0301
Enumeration & Last Sync	Enumerated: 2025-10-17 \| CMS Record Updated: 2025-10-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7777 WARREN PKWY, MATTISON AVENUE SALON SUITES AND SPA SUITE 105, FRISCO, TX, 75034-6549

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Plain-English Taxonomy & CMS Crosswalk (335E00000X)

What Does Taxonomy Code 335E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335E00000X translates to:
"Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 51 (Medical Supply Company with Orthotist) • CMS Code 52 (Medical Supply Company with Prosthetist) • CMS Code 53 (Medical Supply Company with Orthotist-Prosthetist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetic/Orthotic Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHERTIAL RENEE BENNETT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`335E00000X` — Prosthetic/Orthotic Supplier Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier	State: TX \| License: `1204023` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SHERTIAL RENEE BENNETT (NPI #1942176748)