Individual Healthcare Provider
Kristin Simmons Bennie, MD
Provider's NPPES record last updated: May 30, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1861811721
- Primary Specialty
- Family Medicine
- Practice Location
- Clarksville, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Obstetrics & Gynecology
Allopathic & Osteopathic Physicians
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Taxonomy code 207V00000X
Provider-Reported License Information
- Family Medicine (Virginia)
- 0101285004
- Obstetrics & Gynecology (Pennsylvania)
- 390200000X.
- Family Medicine (Pennsylvania)
- MD464151
Practice Locations
Practice Location
115 College St
Clarksville, Virginia 23927-9125
Phone: (434) 374-4814
Additional Practice Location
166 Hanover St Ste 200
Wilkes Barre, Pennsylvania 18702-3549
Phone: (705) 808-8780
Fax: (570) 808-8785
Additional Practice Location
50 Roosevelt Ter
Wilkes Barre, Pennsylvania 18702-3517
Phone: (570) 808-8780
Fax: (570) 808-8785
Record Information
- Enumeration Date
- April 8, 2014
- Provider's NPPES Record Last Updated
- May 30, 2025
- Certification Date
- May 30, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue